DR. CHARLES OLAF CROOKE (NPI# 1104978006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104978006 |
| Entity Type | Individual |
| Full Name | DR. CHARLES OLAF CROOKE |
| Credential | D.D.S. |
| Practice Address |
3 W Garden St Suite 404 Pensacola FL 32502-5641 |
| Practice Telephone | 8504381556 |
| Mailing Telephone | 8504381556 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1371 | FL | Dental Providers |
| Street Address |
3 W GARDEN ST SUITE 404 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32502-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730241209 | Pensacola Psychological Clinic Pa | Psychologist | 3 W Garden St, Ste 370, Pensacola, FL 32502-5641 | 2006-12-14 |
| 1760681480 | Home Companions Specialists, LLC | Home Health | 3 W Garden St, Suite 318 - 320, Pensacola, FL 32502-5641 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199762 | Anita Kay Morris | Marriage & Family Therapist | 25 W Cedar St Ste 205, Pensacola, FL 32502 | 2019-05-10 |
| 1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
| 1780119115 | Felisha Palmer | Nurse's Aide | 619 W Gregory St Apt A, Pensacola, FL 32502 | 2017-04-24 |
| 1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
| 1972968386 | Lauren Reeves | Counselor | 435 E Zarragossa St, Pensacola, FL 32502 | 2015-12-30 |
| 1902202492 | Amabel Arquillano | Physical Therapist | 600 West Gregory Street, Pensacol, FL 32502 | 2014-11-10 |
| 1639579568 | Community Experiences LLC | Home Health | 321 N Devillers St Suite 221, Pensacola, FL 32502 | 2014-08-28 |
| 1831523612 | Our Lady of Angels, St. Joseph Medical Clinic, Inc | Clinic/Center | 131 W. Intendencia St., Pensacola, FL 32502 | 2013-08-28 |
| 1295013266 | Sabrina Gail Evans | Family Medicine | 236 West Garden Street, Pensacola, FL 32502 | 2011-07-25 |
| 1356538771 | Optum Infusion Services 204, Inc. | Pharmacy | 201 N. Tarragona Street, Pensacola, FL 32502 | 2007-09-30 |
| Find all providers in zip 32502 | ||||
| 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 |
|---|---|---|---|---|
| 1821611534 | Kyle Penland | Dentist | 1308 W Nine Mile Rd Ste 9, Pensacola, FL 32534-1761 | 2020-05-28 |
| 1538416888 | Nathaniel Scott Durtschi | Dentist | 1108 Airport Blvd Ste B, Pensacola, FL 32504-8623 | 2012-08-06 |
| 1114285715 | 29 Dental | Dentist | 2850 Monroe St, Pensacola, FL 32514-7656 | 2012-05-02 |
| 1740552066 | Thomas Ando Campanella | Dentist | 907 N New Warrington Rd, Pensacola, FL 32506-4250 | 2012-02-01 |
| 1033371174 | Gulf Coast Family Dentistry | Dentist | 3101 W Michigan Ave, Pensacola, FL 32526-1869 | 2008-06-30 |
| 1902004781 | Jeffrey J Kates | Dentist | 2136 W Fairfield Dr, Pensacola, FL 32505-5132 | 2007-07-03 |
| 1578766069 | Franklin E. May,dds,pa | Dentist | 103 S Navy Blvd, Pensacola, FL 32507-3603 | 2007-06-11 |
| 1245449180 | Mcgilvray Dental, P.a. | Dentist | 6029 N 9th Ave, Pensacola, FL 32504-8200 | 2007-05-21 |
| 1861600553 | Lamont Canada | Dentist | 2401 Executive Plaza Rd Ste D, Pensacola, FL 32504-8275 | 2007-05-18 |
| 1902010713 | Charles E. Stamitoles | Dentist | 1025 Creighton Rd, Pensacola, FL 32504-7031 | 2007-05-10 |
| Find all providers in PENSACOLA | ||||
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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.