DR. FALASTIN R. ABU-SAMN (NPI# 1063649580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063649580 |
Entity Type | Individual |
Full Name | DR. FALASTIN R. ABU-SAMN |
Credential | DDS |
Practice Address |
2570 S Atlantic Ave Daytona Beach FL 32118-5523 |
Mailing Address |
1615 Oak Springs Pl Lake Mary FL 32746-4732 |
Practice Telephone | 3863042677 |
Practice Fax Number | 3863041899 |
Mailing Telephone | 4074170847 |
Enumeration Date | 2009-06-11 |
Last Update Date | 2017-01-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN22279 | FL | Dental Providers |
Street Address |
2570 S ATLANTIC AVE |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32118-5523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407476633 | Adel Demetrious | Dentist | 2727 North Atlantic, Ave, Suite 121, Dayton Beach, FL 32118 | 2020-04-17 |
1518433804 | Tara James | Nurse Practitioner | 224 Seabreeze Blvd, Daytona Beach, FL 32118 | 2018-10-15 |
1760835706 | Barbara Fuller | Early Intervention Provider Agency | 125 Cheshire Rd, Daytona Beach, FL 32118 | 2016-07-14 |
1821486457 | Emily Catherine Lounsbury | Nurse Practitioner | 3512 South Atlantic Avenue, Daytona Beach Shores, FL 32118 | 2015-01-06 |
1215334370 | Shores Medical Center | Nurse Practitioner | 3512 S Atlantic Blvd, Daytona Beach Shores, FL 32118 | 2014-12-04 |
1619305075 | Kimberly Barr Beck-frate | Counselor | 444 Seabreeze Blvd., Integrative Crisis Management, Suite 725, Daytona Beach, FL 32118 | 2013-10-23 |
1104190792 | Demetrius Marketing LLC | Dentist | 2570 South Atlantic Ave., Marina Dental Center, Daytona Beach Shores, FL 32118 | 2012-02-29 |
1255603189 | A1a Medical | General Practice | 1401 North Atlantic Avenue, Daytona Beach, FL 32118 | 2012-02-08 |
1184755654 | David Gaughan | Physical Medicine & Rehabilitation | 3512 S Atlantic Av., Daytona Beach Shores, FL 32118 | 2007-03-08 |
1952497612 | Ability Health Services, Inc | Durable Medical Equipment & Medical Supplies | 614 N. Penisula Dr, Daytona Beach, FL 32118 | 2006-10-04 |
Find all providers in zip 32118 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073613600 | Charles Robert Brown | Dentist | 912 S Ridgewood Ave, Suite B, Daytona Beach, FL 32114-5349 | 2006-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073113296 | Pediatric Dental Center of Gardens Inc | Dentist | 18244 Nw 27th Ave, Miami Gardens, FL 33056-3501 | 2020-10-27 |
1205446598 | Harp Pediatric Dentistry | Dentist | 31067 Us Highway 19 N, Palm Harbor, FL 34684-4416 | 2020-08-03 |
1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
1710595509 | Bright Smiles Pediatric Dentistry Nassau LLC | Dentist | 960135 Gateway Blvd, Fernandina Beach, FL 32034-9120 | 2020-07-17 |
1578180097 | Juliana Grace Fitzgerald | Dentist | 7505 Grand Lely Dr Bldg 1, Naples, FL 34113-1753 | 2020-06-30 |
1861012569 | Toni-marie Small | Dentist | 12625 76th Rd N, West Palm Beach, FL 33412-2259 | 2020-04-22 |
1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
1114573086 | Kids Dentist LLC | Dentist | 8058 W Mcnab Rd, North Lauderdale, FL 33068-4254 | 2019-08-15 |
1558915157 | Dentistry for Children of Florida, Pllc | Dentist | 3021 Airport Rd N Ste 203, Naples, FL 34105-3077 | 2019-07-31 |
1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
Find all providers with the same taxonomy |
City | DAYTONA BEACH |
Zip Code | 32118 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.