SHORE DENTAL, LLC (NPI# 1114446218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114446218 |
| Entity Type | Organization |
| Organization Name | SHORE DENTAL, LLC |
| Practice Address |
4901 White Ibis Drive North Port FL 34287 |
| Mailing Address |
1861 Placida Rd Ste 105 Englewood FL 34223-4900 |
| Practice Telephone | 9414749548 |
| Mailing Telephone | 9414749548 |
| Mailing Fax Number | 9414756745 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |
| Authorized Official Name | NOELLE SCHMITZ (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9414749548 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
FL | Dental Providers |
| Street Address |
4901 WHITE IBIS DRIVE |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619323 | Fresenius Medical Care North Port, LLC | Clinic/Center | 12480 Tamiami Trl S, North Port, FL 34287 | 2018-05-14 |
| 1982106464 | Sweetwater Oaks Assisted Living | Assisted Living Facility | 2820 Pan American Blvd, North Port, FL 34287 | 2018-03-01 |
| 1245645191 | Timmy Truong | Podiatrist | 12757 S. Tamiami Trail, North Port, FL 34287 | 2014-06-29 |
| 1063833671 | Vitaly Rehab Incorporated | Clinic/Center | 12450 Timiami Trail, Suite-e, North Port, FL 34287 | 2013-12-27 |
| 1053744557 | Tiesha Quality Care, LLC. | In Home Supportive Care | 8767 Culebra Ave, North Port, FL 34287 | 2013-08-20 |
| 1811235427 | America's Best Contacts & Eyeglasses | Technician/Technologist | 18467 South Tamiami Trail, North Port, FL 34287 | 2013-01-17 |
| 1043557929 | Joseph E Lacombe | Pharmacist | 1291 S. Sumter Blvd, North Port, FL 34287 | 2013-01-11 |
| 1568621837 | Daniel M Barr Dc | Chiropractor | 4361 Aidan Ln, North Port, FL 34287 | 2008-06-03 |
| 1174712541 | Michael Dwayne Hibbs | Nurse Practitioner | 18659 Tamiami Trail, Suite A, North Port, FL 34287 | 2007-10-22 |
| 1437360419 | Northern Medical and Holistic Center Corp | Family Medicine | 5400 Biscayne Drive, North Port, FL 34287 | 2007-05-24 |
| Find all providers in zip 34287 | ||||
| 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 |
|---|---|---|---|---|
| 1376038547 | Marjan Mirkheshti | Dentist | 5696 Tuscola Blvd, North Port, FL 34287-2738 | 2018-06-28 |
| 1962996041 | Logan D Poff | Dentist | 14884 Tamiami Trl, North Port, FL 34287-2701 | 2018-06-21 |
| 1972007912 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 2787 Sycamore St Ste 106, North Port, FL 34289-9513 | 2018-03-23 |
| 1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
| 1093155236 | Celebrity Smiles Dental | Dentist | 13801 Tamiami Trl Ste B, North Port, FL 34287-2017 | 2013-07-02 |
| 1366591042 | Eric-john Claessens | Dentist | 12450 Tamiami Trl S Unit A, North Port, FL 34287-1473 | 2007-01-10 |
| 1891863056 | Thomas Robert Cherpak | Dentist | 14985 S. Tamiami Trail, North Port, FL 34287 | 2006-12-04 |
| 1174626360 | Aaron M Memon | Dentist | 14500 Tamiami Trl, North Port, FL 34287-2723 | 2006-09-06 |
| 1467413997 | Vincent Delle-donne | Dentist | 13801 Tamiami Trl, Suite B, North Port, FL 34287-2017 | 2006-04-01 |
| 1871568386 | Edward Moitoso | Dentist | 3015 Bobcat Village Center Rd, North Port, FL 34288-8972 | 2006-02-19 |
| Find all providers in NORTH PORT | ||||
| City | NORTH PORT |
| Zip Code | 34287 |
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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.