COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. (NPI# 1114317294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114317294 |
| Entity Type | Organization |
| Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. |
| Other Organization Name | BROOKER CREEK DENTAL GROUP |
| Practice Address |
36207 E Lake Rd Palm Harbor FL 34685-3143 |
| Practice Telephone | 7277879696 |
| Practice Fax Number | 7277862334 |
| Mailing Telephone | 7277879696 |
| Mailing Fax Number | 7277862334 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | KIM WILSON (CRED SUPERIVOSR) |
| Authorized Official Telephone | 2175405170 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Brooker Creek Dental Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554686 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 15800 Orange Blvd, Loxahatchee, FL 33470-3442 | 2020-09-30 |
| 1376158030 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 625 N Us Highway 441, Lady Lake, FL 32159-3714 | 2020-09-10 |
| 1992310866 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 12152 Mercado Dr, Venice, FL 34293-1155 | 2020-09-09 |
| 1871106260 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 | 2020-08-26 |
| 1780293779 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 300 Alt 19 Ste B, Palm Harbor, FL 34683-5356 | 2020-07-27 |
| 1013534023 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 7255 Kathleen Rd, Lakeland, FL 33810-4722 | 2020-06-26 |
| 1316566078 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4921 State Road 674, Wimauma, FL 33598-3534 | 2020-04-13 |
| 1124657572 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 9749 Commercial Way, Weeki Wachee, FL 34613-3979 | 2020-04-07 |
| 1174157275 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5837 Seven Mile Dr, Wildwood, FL 34785-8852 | 2020-02-27 |
| 1093349284 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 202 Ronald Reagan Pkwy, Davenport, FL 33896-9606 | 2020-02-26 |
| Street Address |
36207 E LAKE RD |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34685-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063864270 | Jonathan Van Dyke | Dentist | 36207 E Lake Rd, Palm Harbor, FL 34685-3143 | 2016-07-12 |
| 1124470877 | Kirsten A. Teresi | Dentist | 36207 E Lake Rd, Palm Harbor, FL 34685-3143 | 2016-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663376 | Laura Ashley Birch Williams | Physical Therapy Assistant | 4168 Woodlands Pkwy # A, Palm Harbor, FL 34685 | 2020-09-08 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1093277162 | Raza Zaidi | Student in an Organized Health Care Education/Training Program | 3818 Ambassador Dr, Palm Harbor, FL 34685 | 2019-04-05 |
| 1366965063 | Crestar Labs Fl LLC | Clinical Medical Laboratory | 4714 Ayron Terrace, Palm Harbor, FL 34685 | 2017-07-25 |
| 1497284038 | Jacquelle Davis | Social Worker | 1261 Bay Harbor Dr Apt 201, Palm Harbor, FL 34685 | 2017-06-07 |
| 1649693888 | Marliss Rae Jones | Social Worker | 1107 Mainsail Circle, Palm Harbor, FL 34685 | 2014-01-23 |
| 1427489152 | Best At Home Care LLC | In Home Supportive Care | 1801 East Lake Rd, #3a, Palm Harbor, FL 34685 | 2013-12-05 |
| 1457622292 | Dennis Hamilton | Pharmacist | 3420 East Lake Rd, Palm Harbor, FL 34685 | 2012-01-25 |
| 1275770448 | Amy Beach Harcourt | Physical Therapist | 3488 East Lake Rd, Suite 302, Palm Harbor, FL 34685 | 2009-01-09 |
| 1225223589 | Carolyn Kim Puckett | Physical Therapist | 800 Tarpon Woods Blvd., Suite F1, Palm Harbor, FL 34685 | 2007-09-10 |
| Find all providers in zip 34685 | ||||
| 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 |
|---|---|---|---|---|
| 1780293779 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 300 Alt 19 Ste B, Palm Harbor, FL 34683-5356 | 2020-07-27 |
| 1023584174 | Dental Office of Palm Harbor Inc | Dentist | 3438 Tampa Rd Ste 11, Palm Harbor, FL 34684-3530 | 2018-10-16 |
| 1619401205 | Kristyn Healey | Dentist | 2706 Alt 19 Ste 107, Palm Harbor, FL 34683-2650 | 2017-04-20 |
| 1972973808 | Vip Dental Center Inc. | Dentist | 32919 Us Highway 19 N, Palm Harbor, FL 34684-3121 | 2015-10-05 |
| 1821407990 | Magela Martinez | Dentist | 36091 Us Highway 19 N, Palm Harbor, FL 34684-1531 | 2014-08-04 |
| 1043413180 | John A Tutay | Dentist | 31980 Us Highway 19 N, Palm Harbor, FL 34684-3730 | 2007-06-06 |
| 1306047998 | Charles Sarunas Siauciunas | Dentist | 33010 Us Highway 19 N, Palm Harbor, FL 34684-3122 | 2007-05-30 |
| 1972716504 | Christopher R Miller | Dentist | 33143 Us Highway 19 N, Palm Harbor, FL 34684-3126 | 2007-05-08 |
| 1710001318 | David S Butler | Dentist | 300 Alt 19, Palm Harbor, FL 34683-5356 | 2007-03-19 |
| 1376632240 | Hopeton George Williams Jr. | Dentist | 2847 Us Alternate 19 N, Palm Harbor, FL 34683 | 2006-10-11 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34685 |
Please comment or provide details below to improve the information on COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A..
| 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.