MICHAEL R JUBA (NPI# 1124161773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124161773 |
| Entity Type | Individual |
| Full Name | MICHAEL R JUBA |
| Credential | DDS |
| Practice Address |
704 N Splitrock Blvd Brandon SD 57005 |
| Mailing Address |
Po Box 624 Brandon SD 57005-0624 |
| Practice Telephone | 6055827102 |
| Practice Fax Number | 6055827109 |
| Mailing Telephone | 6055827102 |
| Mailing Fax Number | 6055827109 |
| Enumeration Date | 2007-02-14 |
| 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 |
M-592 | SD | Dental Providers |
| Street Address |
704 N SPLITROCK BLVD |
| City | BRANDON |
| State | SD |
| Zip Code | 57005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386198356 | Michael R Juba Dds Inc | Dentist | 704 N Splitrock Blvd, Brandon, SD 57005-2053 | 2016-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794926 | Sarah Hewitt | Counselor | 316 E Holly Blvd, Brandon, SD 57005 | 2019-01-15 |
| 1790175388 | Cody Lee Kruckenberg | Chiropractor | 312 E Holly Blvd, Brandon, SD 57005 | 2015-02-03 |
| 1356577159 | Matthew Krivarchka | Dentist | 1511 W. Holly Boulevard, Brandon, SD 57005 | 2009-06-08 |
| 1851546253 | Karla Karrin Jorgenson | Occupational Therapist | 103 North Splitrock Blvd, Brandon, SD 57005 | 2008-11-26 |
| 1598954364 | David Fitzgerald Ward Dc | Chiropractor | 1302 E Rushmore, Brandon, SD 57005 | 2007-10-17 |
| 1477675437 | Kara Lynn Baas | Counselor | 1320 E Rushmore Drive, Suite 107, Brandon, SD 57005 | 2007-04-03 |
| 1548334246 | Med Star Paramedic Inc | Non-emergency Medical Transport (VAN) | 922 E Redwood Blvd, Brandon, SD 57005 | 2006-11-17 |
| 1386723468 | Prairie Rehabilitation Services, Inc. | Durable Medical Equipment & Medical Supplies | 1220 E. Holly Blvd, Brandon, SD 57005 | 2006-11-02 |
| 1396780698 | Barbara Harvison | Physician Assistant | 1101 E Holly Blvd, Brandon, SD 57005 | 2006-06-19 |
| 1326121807 | David Fitzgerald Ward | Chiropractor | 1302 E Rushmore Dr, Brandon, SD 57005-0408 | 2006-10-20 |
| Find all providers in zip 57005 | ||||
| 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 |
|---|---|---|---|---|
| 1255955340 | Terah Shelby | Dentist | 2139 Highway 471, Brandon, MS 39047-8748 | 2020-06-03 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1992368112 | Donna Mansour | Dentist | 971 E Bloomingdale Ave, Brandon, FL 33511-8118 | 2019-04-15 |
| 1538672787 | Brandon Smiles LLC | Dentist | 926 West Lumsden Rd, Brandon, FL 33511 | 2017-11-09 |
| 1770009649 | Arnold Dentistry, Pa | Dentist | 330 E Bloomingdale Ave, Brandon, FL 33511-8155 | 2017-08-22 |
| 1679003768 | Jay Ghiya | Dentist | 10955 Causeway Blvd, Brandon, FL 33511-1997 | 2017-06-13 |
| 1497106033 | Affiliated Dental Specialist | Dentist | 2488 W Brandon Blvd Ste B, Brandon, FL 33511-4710 | 2016-06-24 |
| 1699150110 | Shadan Hafsa | Dentist | 611 E Bloomingdale Ave Ste C, Brandon, FL 33511-8127 | 2015-07-26 |
| 1427439835 | Daniel Ray Carney | Dentist | 100 Avalon Ct Ste A, Brandon, MS 39047-7672 | 2015-06-11 |
| 1770982183 | Maria Yatzkan | Dentist | 2118 W Brandon Blvd., Brandon, FLORIDA 33511 | 2014-08-21 |
| Find all providers in BRANDON | ||||
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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.