DR. THOMAS JOSEPH CANAAN (NPI# 1104896398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104896398 |
| Entity Type | Individual |
| Full Name | DR. THOMAS JOSEPH CANAAN |
| Credential | DDS |
| Practice Address |
Building 964 Enterprise St Jacksonville FL 32214-0001 |
| Mailing Address |
2080 Child St Jacksonville FL 32214-5005 |
| Practice Telephone | 9045423441 |
| Mailing Telephone | 9045423441 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
0401006620 | VA | Dental Providers |
| Street Address |
BUILDING 964 ENTERPRISE ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32214-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699255653 | Natalia Rosa Terreros | Nurse Practitioner | 2080 Childs Street, Jacksonville, FL 32214 | 2018-08-20 |
| 1841586120 | Travis Christopher Allemang | Urology | 2080 Child St Dept 5000, Jacksonville, FL 32214 | 2011-06-24 |
| 1730169202 | Quinn Steven Bastian | Psychologist | 2080 Child Street, Mental Health Dept - Bldg 2034 / Nh Jax, Jacksonville, FL 32214 | 2006-01-19 |
| 1407342314 | Jeremiah D. Bond | Nurse Anesthetist, Certified Registered | 2080 Child St, Jacksonville, FL 32214 | 2018-07-03 |
| 1295228393 | Christopher John Gilbertson | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-06-13 |
| 1043714405 | Adam Blake Hoynacki | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1154825461 | Andrew Charles Caudill | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1114447950 | Brenna Michelle Smith | Pharmacist | 2080 Child St, Jacksonville, FL 32214 | 2017-06-22 |
| 1639558687 | Catherine Phuong-tu Perrault | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2015-05-22 |
| 1184044950 | Jason Michael Pesqueira | Student in an Organized Health Care Education/Training Program | 2080 Child St, Family Medicine Clinic, Jacksonville, FL 32214 | 2014-04-21 |
| Find all providers in zip 32214 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396797627 | John Thomas Meadows | Dentist | 46 Office Park Dr, Jacksonville, NC 28546-3217 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979908 | Maram Bawazir | Dentist | University of Florida Dentistry D8, Gainesville, FL 32610-0001 | 2018-07-21 |
| 1326533043 | Saja A Alramadhan | Dentist | 1395 Center Dr Fl 8, Gainesville, FL 32610-3006 | 2018-06-25 |
| 1851654677 | Wellington Center for Oral and Maxillofacial Surgery | Dentist | 1051 S State Road 7, Building G Suite 1, Wellington, FL 33414-6135 | 2012-06-18 |
| 1023142148 | William Jarmolych | Dentist | 1935 Drew St, Clearwater, FL 33765-3041 | 2007-03-14 |
| 1942339478 | Rosa H. Robison | Dentist | 2131 Westover Reserve Blvd, Windermere, FL 34786 | 2007-03-02 |
| 1932234986 | Gregory Taylor | Dentist | 4410 Sheridan St Ste B, Hollywood, FL 33021-3553 | 2007-02-22 |
| 1811022858 | Ira Stone | Dentist | 4420 Sheridan St Ste B, Hollywood, FL 33021-3552 | 2007-02-22 |
| 1801950902 | Paul Theodore Richman | Dentist | 1045 Ne 125th St, N Miami, FL 33161 | 2006-12-21 |
| 1104911015 | Giancarlo Bland | Dentist | 2499 Glades Rd., Suite 309, Boca Raton, FL 33431-7202 | 2006-10-04 |
| 1396830741 | Kenyon Mcgill Fort | Dentist | 7135 Dr. M. L. King Jr., Street North, St. Petersburg, FL 33702 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32214 |
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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.