RONALD GENE LIST (NPI# 1174803340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174803340 |
| Entity Type | Individual |
| Full Name | RONALD GENE LIST |
| Credential | DENTIST |
| Practice Address |
1460 Baytree Dr Ne Palm Bay FL 32905-3900 |
| Mailing Address |
1460 Baytree Dr Palm Bay FL 32905 |
| Practice Telephone | 3219140915 |
| Practice Fax Number | 3219140916 |
| Mailing Telephone | 3219140915 |
| Mailing Fax Number | 3219140916 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN19390 | FL | Dental Providers |
| Street Address |
1460 BAYTREE DR NE |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467712695 | Space Coast Volunteers In Medicine | General Practice | 1460 Baytree Dr Ne, Palm Bay, FL 32905-3900 | 2012-05-22 |
| 1952667966 | Audrey C Joiner | Nurse Practitioner | 1460 Baytree Dr Ne, Palm Bay, FL 32905-3900 | 2012-04-03 |
| 1306120548 | Richard Neil Baney | Internal Medicine | 1460 Baytree Dr Ne, Palm Bay, FL 32905-3900 | 2011-10-06 |
| 1629350160 | Sheryl Arlynn Wilson | Nurse Practitioner | 1460 Baytree Dr Ne, Palm Bay, FL 32905-3900 | 2011-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| Find all providers in zip 32905 | ||||
| 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 |
|---|---|---|---|---|
| 1700436615 | Gladysbel Jimenez | Dentist | 5132 Minton Rd Nw, Palm Bay, FL 32907-1110 | 2019-09-13 |
| 1952875635 | Luis Carlos Mejia | Dentist | 620 Malabar Rd Se Ste 3, Palm Bay, FL 32907-3109 | 2019-01-16 |
| 1063826170 | New Image Dentistry On Minton | Dentist | 5132 Minton Rd Nw Ste 1, Palm Bay, FL 32907-1110 | 2014-06-17 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| 1134427859 | Mark Joseph Urban | Dentist | 2061 Palm Bay Rd Ne, Suite #103, Palm Bay, FL 32905-7533 | 2011-03-03 |
| 1306155163 | Robert Willard Underill Jr. | Dentist | 2156 Julian Ave Ne, Palm Bay, FL 32905-4020 | 2010-09-28 |
| 1669780284 | Capeside Dental | Dentist | 3265 Bayside Lakes Blvd Se, Palm Bay, FL 32909-6872 | 2010-09-16 |
| 1326233214 | Andrea Elaine Cunningham | Dentist | 620 Malabar Rd Se, Suite 3, Palm Bay, FL 32907 | 2007-09-13 |
| 1831396282 | Jefferson Michael Pecora | Dentist | 2105 Palm Bay Road Ne Ste 4-5, Palm Bay, FL 32905 | 2007-06-29 |
| 1629282504 | Lori Dianne Nelson | Dentist | 730 Emerson Dr. Nw, Palm Bay, FL 32907 | 2007-05-09 |
| Find all providers in PALM BAY | ||||
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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.