ORBIT DENTAL MANAGEMENT PA


Address: 1453 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1968
Phone: 7723484403

ORBIT DENTAL MANAGEMENT PA (NPI# 1154935799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154935799
Entity Type Organization
Organization Name ORBIT DENTAL MANAGEMENT PA
Practice Address 1453 Nw Saint Lucie West Blvd
Port St Lucie
FL 34986-1968
Practice Telephone 7723484403
Practice Fax Number 7723484342
Mailing Telephone 7723484403
Mailing Fax Number 7723484342
Enumeration Date 2020-09-01
Last Update Date 2020-09-01
Authorized Official Name MIKHAIL GANKIN (OWNER)
Authorized Official Telephone 7723484403
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
Dental Providers

Other Provider/Organization Names

Other Name Type Code
St. Lucie West Dental Specialists Doing Business As Name - Organization

Office Location

Street Address 1453 NW SAINT LUCIE WEST BLVD
City PORT ST LUCIE
State FL
Zip Code 34986-1968

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962992933 Lindsay B Rojas Occupational Therapist 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 2018-05-15
1639685266 Natoya A Queenbourrows Family Medicine 2145 Nw Padova St, Port St Lucie, FL 34986 2017-12-19
1740634930 The Toledo Clinic, LLC Clinic/Center 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 2016-04-14
1326407230 Merline Smellie Social Worker 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 2016-02-19
1124486949 Therapy Connection of The Treasure Coast Speech-Language Pathologist 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 2016-02-08
1689050015 Yudelquis Comas Sanchez Internal Medicine Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 2015-08-07
1689056889 Joshua Chupp Dentist 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 2015-06-24
1366821720 Kids Therapy Solutions Occupational Therapist 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 2015-05-19
1134514086 Comfortable Care Dental Health Professionals, Pa Dentist 1384 Sw St. Lucie, Port St. Lucie, FL 34986 2015-03-30
1750787586 Timothy Michael Kennedy Chiropractor 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 2014-11-05
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497973846 Kenneth C Sprechman Dentist 1100 Sw Saint Lucie West Blvd Ste 205, Port St Lucie, FL 34986-1779 2007-04-23
1003471459 Tdc Port St. Lucie LLC Dentist 1161 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5332 2019-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922608736 Mid-florida Endodontics - Winter Garden Pa Dentist 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 2020-10-30
1790397370 Bruce D. Schulman, Dds Pa Dentist 10150 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3776 2020-08-17
1770117525 Volusia Endodontics Pa Dentist 2751 Enterprise Rd Ste 211, Orange City, FL 32763-8262 2020-03-02
1417587130 Advanced Endodontics of Winter Park, Pa Dentist 400 W Morse Blvd Ste 102, Winter Park, FL 32789-4259 2020-01-22
1699326603 North Central Florida Endodontics,pllc Dentist 48 Se 16th Ave, Ocala, FL 34471-2521 2019-09-23
1396395919 Stephen L. Goldfaden, Dds,pa Dentist 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414 2019-09-16
1649820630 Ponte Vedra Endodontics Dentist 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 2019-09-12
1437707197 John Zachary Reynolds Dentist 3180 Redeemer Way, New Port Richey, FL 34655-4245 2019-08-27
1497307987 Bradley Sleeth Dentist 942 Goldridge Ct, Orange Park, FL 32065-6259 2019-07-15
1134781610 Annika Marschall Dmd Pa Dentist 2425 Presidential Way Apt 1805, West Palm Beach, FL 33401-1321 2019-07-03
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Competitor

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City PORT ST LUCIE
Zip Code 34986

Improve Information

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Dataset Information

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.

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