DR. ELLYS R. FERNANDEZ (NPI# 1093159923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093159923 |
| Entity Type | Individual |
| Full Name | DR. ELLYS R. FERNANDEZ |
| Other Name | DR. ELLYS R. TRONILO |
| Practice Address |
6626 Hypoluxo Rd Ste A1 Lake Worth FL 33467-7676 |
| Practice Telephone | 7185778800 |
| Practice Fax Number | 7187959004 |
| Mailing Telephone | 7185778800 |
| Mailing Fax Number | 7187959004 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2017-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30.024662 | OH | Dental Providers |
| Street Address |
6626 HYPOLUXO RD STE A1 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-7676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104350503 | Christopher James Bedoya | Dentist | 6626 Hypoluxo Rd Ste A1, Lake Worth, FL 33467-7676 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283501 | Sung Ryel Choi | Dentist | 6014 Azle Ave # 100, Lake Worth, TX 76135 | 2018-08-06 |
| 1154827764 | Dentists of Lake Worth PC | Dentist | 6532 Lake Worth Blvd, Lake Worth, TX 76135-3002 | 2018-04-03 |
| 1255887535 | Serene Dental Group of Lake Worth, LLC | Dentist | 6045 Hagen Ranch Rd, Lake Worth, FL 33467 | 2016-08-28 |
| 1477981652 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5516 State Road 7, Suite 132, Lake Worth, FL 33449-4613 | 2013-10-24 |
| 1710319884 | Geneva White Dmd Pa | Dentist | 5970 S Jog Rd Ste E, Lake Worth, FL 33467-6576 | 2013-07-31 |
| 1861838716 | Dolce Dental | Dentist | 9897 Lake Worth Rd Ste 108, Lake Worth, FL 33467-2377 | 2013-05-20 |
| 1134474745 | Tarranay Steyn | Dentist | 5516 S State Road 7 Ste 132, Lake Worth, FL 33449-5442 | 2012-07-19 |
| 1013200187 | Colleen Lam | Dentist | 5057 S Congress Ave Ste 401, Lake Worth, FL 33461-4723 | 2011-05-24 |
| 1790009728 | Florida Dental & Denture Center 1v | Dentist | 1622 N Federal Hwy, Lake Worth, FL 33460-6645 | 2010-03-19 |
| 1629209630 | Emilia Isaza | Dentist | 325 S. Dixie Hwy, Suite #5, Lake Worth, FL 33460 | 2009-08-07 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
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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.