BETHANY BROOKS (NPI# 1134672470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134672470 |
| Entity Type | Individual |
| Full Name | BETHANY BROOKS |
| Credential | DMD |
| Practice Address |
Bureau of Med and Surgery Credentials And 554 Keily Street Jacksonville FL 32214-0001 |
| Practice Telephone | 7579531897 |
| Mailing Telephone | 7579531897 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 04243 | NH | Dental Providers |
| Street Address |
BUREAU OF MED AND SURGERY CREDENTIALS AND 554 KEILY STREET |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32214-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699255653 | Natalia Rosa Terreros | Nurse Practitioner | 2080 Childs Street, Jacksonville, FL 32214 | 2018-08-20 |
| 1841586120 | Travis Christopher Allemang | Urology | 2080 Child St Dept 5000, Jacksonville, FL 32214 | 2011-06-24 |
| 1730169202 | Quinn Steven Bastian | Psychologist | 2080 Child Street, Mental Health Dept - Bldg 2034 / Nh Jax, Jacksonville, FL 32214 | 2006-01-19 |
| 1407342314 | Jeremiah D. Bond | Nurse Anesthetist, Certified Registered | 2080 Child St, Jacksonville, FL 32214 | 2018-07-03 |
| 1295228393 | Christopher John Gilbertson | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-06-13 |
| 1043714405 | Adam Blake Hoynacki | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1154825461 | Andrew Charles Caudill | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1114447950 | Brenna Michelle Smith | Pharmacist | 2080 Child St, Jacksonville, FL 32214 | 2017-06-22 |
| 1639558687 | Catherine Phuong-tu Perrault | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2015-05-22 |
| 1184044950 | Jason Michael Pesqueira | Student in an Organized Health Care Education/Training Program | 2080 Child St, Family Medicine Clinic, Jacksonville, FL 32214 | 2014-04-21 |
| Find all providers in zip 32214 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419864 | Andre M Fang | Dentist | 6801 Roosevelt Blvd, Jacksonville, FL 32212-1192 | 2020-08-28 |
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1093323479 | Britney Marie Cruz | Dentist | 1280 Western Blvd Unit 200, Jacksonville, NC 28546-7658 | 2020-07-21 |
| 1083238786 | Sleep Better Solutions LLC | Dentist | 4215 Southpoint Blvd Ste 240, Jacksonville, FL 32216-0932 | 2020-05-29 |
| 1114550258 | James Moran | Dentist | 7990 Baymeadows Rd E # 718, Jacksonville, FL 32256-2961 | 2020-02-18 |
| 1265075329 | Latoya Goins | Dentist | 1280 Western Blvd, Jacksonville, NC 28546-6653 | 2019-10-22 |
| 1437706462 | Stephanie Marquez | Dentist | 751 Oak St Ste 601, Jacksonville, FL 32204-3373 | 2019-08-23 |
| 1831751064 | Rachel Marie Schloth | Dentist | 12086 Fort Caroline Rd Ste 105, Jacksonville, FL 32225-2688 | 2019-07-09 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1235796954 | Carolina Garcia | Dentist | 790 Skymarks Dr Ste 109, Jacksonville, FL 32218-7267 | 2019-05-29 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32214 |
Please comment or provide details below to improve the information on BETHANY BROOKS.
| 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.