ITD ASSOCIATES, P.A. (NPI# 1073832176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073832176 |
| Entity Type | Organization |
| Organization Name | ITD ASSOCIATES, P.A. |
| Other Organization Name | INDRIO DENTAL CARE |
| Practice Address |
4832 N. Kings Highway Fort Pierce FL 34951 |
| Mailing Address |
499 Nw Prima Vista Blvd. Port Saint Lucie FL 34983 |
| Practice Telephone | 7724686226 |
| Practice Fax Number | 7724686226 |
| Mailing Telephone | 7723357392 |
| Mailing Fax Number | 8886103835 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | MR. THOMAS MICHAEL HICKEY (PRESIDENT) |
| Authorized Official Telephone | 7723598962 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Indrio Dental Care | Doing Business As Name - Organization |
| Street Address |
4832 N. KINGS HIGHWAY |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306398516 | Lesa Mitchell | Community Health Worker | 6036 Indrio Rd Apt 5, Ft Pierce, FL 34951 | 2016-11-04 |
| 1366779605 | Susan Theresa Mullanack | Homeopath | 4695 Seminole Road, Fort Pierce, FL 34951 | 2009-11-06 |
| 1881601631 | Caryn L Morrison | Optometrist | 1302 Sw St Lucie West Blvd, Port St Lucie, FL 34951 | 2006-08-02 |
| 1396851622 | Sally J Collodi-swart | Nurse Practitioner | 1900 Se Port St Lucie Blvd, Port St Lucie Blvd, FL 34951 | 2006-08-21 |
| 1962640417 | Rufus Sands | Respite Care | 7502 Paso Robles Blvd, Fort Pierce, FL 34951-1131 | 2009-01-21 |
| 1558800615 | April Weigand | Physical Therapy Assistant | 7304 Paso Robles Blvd, Fort Pierce, FL 34951-1134 | 2017-02-21 |
| 1528531472 | Rakevah Wilson | Case Manager/Care Coordinator | 7005 Paso Robles Blvd, Fort Pierce, FL 34951-1223 | 2019-01-03 |
| 1619574605 | Doll Babys Home Care Inc | Clinic/Center | 7005 Paso Robles Blvd, Fort Pierce, FL 34951-1223 | 2020-10-03 |
| 1366922122 | Precious Health Care Services Inc. | Home Health | 7003 Brookline Ave, Fort Pierce, FL 34951-1232 | 2018-08-20 |
| 1770930042 | Lucresha Reeves | Counselor | 6804 Santa Clara Blvd, Fort Pierce, FL 34951-1293 | 2016-05-17 |
| Find all providers in zip 34951 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912564162 | Professional Dental Alliance of Ft. Pierce, Pllc | Dentist | 4832 N Kings Hwy, Fort Pierce, FL 34951-2243 | 2019-05-23 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1013176569 | John William Humphries | Dentist | 2505 S Federal Hwy # 1, Fort Pierce, FL 34982-5922 | 2008-06-09 |
| 1538355359 | Gina Denise Dean-bey | Dentist | 1900 Nebraska Ave Ste 6, Fort Pierce, FL 34950-4837 | 2007-09-16 |
| 1659580868 | William G Angelos | Dentist | 4846 N Kings Hwy, Fort Pierce, FL 34951-2243 | 2007-05-22 |
| 1194808360 | Robert D. Gehrig | Dentist | 1405 S 25th St, Suite B, Fort Pierce, FL 34947-4700 | 2006-10-23 |
| 1588766513 | Norman David Knowles | Dentist | 1511 S 25th St Ste B, Fort Pierce, FL 34947-4779 | 2006-09-01 |
| 1801908496 | Russell Minor Davis | Dentist | 2204 Sunrise Blvd, Fort Pierce, FL 34950-5367 | 2006-08-31 |
| 1902836851 | James Lowell Strawn | Dentist | 5054 S 25th St, Fort Pierce, FL 34981-4923 | 2006-07-04 |
| 1932147063 | Emilio R Martinez | Dentist | 5110 Turnpike Feeder Rd, Fort Pierce, FL 34951-5020 | 2006-06-02 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34951 |
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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.