COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA (NPI# 1124571500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124571500 |
| Entity Type | Organization |
| Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Other Organization Name | LAKE MIONA DENTAL CARE |
| Practice Address |
4232 E County Road 466 Suite 101 Oxford FL 34484 |
| Practice Telephone | 3524610830 |
| Practice Fax Number | 3524610853 |
| Mailing Telephone | 3524610830 |
| Mailing Fax Number | 3524610853 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING TEAM LEAD) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Lake Miona Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366975575 | Comfortable Care Dental Health Professionals, Pa | Dentist | 10670 Sw Tradition Pkwy, Port St Lucie, FL 34987-2862 | 2017-04-05 |
| 1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1780130336 | Comfortable Care Dental Health Professionals, Pa | Dentist | 14606 Sr 70 E, Lakewood Ranch, FL 34202 | 2016-09-01 |
| 1871048165 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4999 N Tanner Rd, Orlando, FL 32826-6520 | 2016-08-17 |
| 1780030429 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2620 E Hwy 50, Suite 100, Clermont, FL 34711-6034 | 2016-05-12 |
| 1285080929 | Comfortable Care Dental Health Professionals, Pa | Dentist | 715 Palm Bay Rd Ne, Suite 107, West Melbourne, FL 32904-9167 | 2016-05-12 |
| 1568816155 | Comfortable Care Dental Health Professionals, Pa | Dentist | 16731 East Colonial Drive, Orlando, FL 32820 | 2016-04-20 |
| 1013379635 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2529 Santa Barbara Blvd, Suite 100, Cape Coral, FL 33914-4455 | 2016-03-23 |
| Street Address |
4232 E COUNTY ROAD 466 SUITE 101 |
| City | OXFORD |
| State | FL |
| Zip Code | 34484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760723 | Advanced Surgery Center of Oxford | Clinic/Center | 12117 Cr 103, Oxford, FL 34484 | 2019-09-24 |
| 1336513639 | Balanced Wellbeing LLC | Psychiatry & Neurology | 10840 North Us Highway, Suite 301, Oxford, FL 34484 | 2015-11-24 |
| 1558616052 | Junzen Ballesil Domingo | Physical Therapist | 14401 S. Military Trail, Apt 110, Delray Beach, FL 34484 | 2012-07-20 |
| 1285960229 | Tracy Renna | Occupational Therapist | 4904 Ne 123rd Ln, Oxford, FL 34484 | 2009-10-27 |
| 1588766125 | Richard M Roach | Urology | 12109 County Road 103 Ste 2, Oxford, FL 34484 | 2006-09-03 |
| 1942238506 | Hartford Health Services, LLC | Home Health | 11031 N Us Highway 301 Ste 103, Oxford, FL 34484 | 2006-06-30 |
| 1962046151 | Solace Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 12117 Cr 103, Oxford, FL 34484 | 2019-10-31 |
| 1689142259 | Kendra Nicole Wilson | Physician Assistant | 10840 N Us Highway 301, Oxford, FL 34484 | 2018-11-12 |
| 1841451507 | Rebecca M Herndon | Occupational Therapist | 4725 Bellwether Ln, Oxford, FL 34484 | 2008-06-24 |
| 1376747162 | Saumilkumar S. Karavadia | Urology | 12109 Cr 103, Oxford, FL 34484 | 2007-06-13 |
| Find all providers in zip 34484 | ||||
| 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 |
|---|---|---|---|---|
| 1194330415 | Drs Koren and Reimels Oxford Pllc | Dentist | 1419 College St Ste B, Oxford, NC 27565-2578 | 2020-09-14 |
| 1083256226 | Connecticut Dental Professionals, P.C. | Dentist | 276 Oxford Rd Ste 2, Oxford, CT 06478-1956 | 2019-10-09 |
| 1295221216 | Abigail W Scanlan | Dentist | 115 Hilltop Vlg, Oxford, NC 27565-3002 | 2018-07-02 |
| 1700297991 | Oxford Dental Associates | Dentist | 102 Conner Rd, Oxford, PA 19363-1292 | 2014-05-10 |
| 1225463219 | Nour M Khalil | Dentist | 113 Sutton Ave, Oxford, MA 01540 | 2013-09-09 |
| 1902243454 | Alex Dolgov | Dentist | 474 S. Locust Street, Oxford, OH 45056 | 2013-05-23 |
| 1457600868 | Sid Pazokian D.d.s., P.a., II | Dentist | 1419 College St., Oxford, NC 27565-2578 | 2012-08-30 |
| 1558623488 | Whitman Lamar Welch | Dentist | 420 Snow St, Oxford, AL 36203-1266 | 2012-06-15 |
| 1336441591 | Ross Family Dental Clinic | Dentist | 127 Heritage Dr, Oxford, MS 38655-5458 | 2010-11-21 |
| 1710139746 | Robert W Strong | Dentist | 2236 Baltimore Pike, Oxford, PA 19363-4025 | 2008-10-22 |
| Find all providers in OXFORD | ||||
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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.