DR. SANDRA TREJOS (NPI# 1184082018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184082018 |
| Entity Type | Individual |
| Full Name | DR. SANDRA TREJOS |
| Credential | DDS |
| Practice Address |
250 E International Speedway Blvd Deland FL 32724-2340 |
| Practice Telephone | (386) 626-3296 |
| Mailing Telephone | (386) 626-3296 |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22989 | FL | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 E 210th St, Bronx, NY 104672401 | 7189204321 |
| Street Address |
250 E INTERNATIONAL SPEEDWAY BLVD |
| City | DELAND |
| State | FL |
| Zip Code | 32724-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730667494 | Laif Dane Toland | Dentist | 250 E International Speedway Blvd, Deland, FL 32724-2340 | 2018-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1811473275 | April Gustafson | Nurse Practitioner | 557 Adenmore Ter, Deland, FL 32724 | 2018-07-18 |
| 1245720820 | Total Renal Laboratories Inc | Clinical Medical Laboratory | 3000 Davita Way, Deland, FL 32724 | 2018-05-18 |
| 1790294742 | Deland Manor Assisted Living Corp | Assisted Living Facility | 245 S. Amelia Ave, Deland, FL 32724 | 2017-09-21 |
| 1639617954 | Starting Point Mental Health, LLC | Counselor | 620 East New York Ave Ste B, Deland, FL 32724 | 2017-02-07 |
| 1255877221 | Emily Eunice | Specialist/Technologist | 2589 W Lake Dr., Deland, FL 32724 | 2017-01-13 |
| 1073960357 | Robert Solomon Jr. | Family Medicine | 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 | 2016-05-17 |
| 1730535568 | Harold Alexander | Hearing Instrument Specialist | 124 S. Amelia Ave, Unit #b, Deland, FL 32724 | 2016-05-11 |
| 1720406747 | Angel Care Homes LLC | Assisted Living Facility | 1349 E. Wisconsin Avenue, Deland, FL 32724 | 2014-04-07 |
| 1508298860 | Lindenlea Assisted Living Inc. | Assisted Living Facility | 1180 Jackson Ranch Rd, Deland, FL 32724 | 2013-08-08 |
| Find all providers in zip 32724 | ||||
| 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 |
|---|---|---|---|---|
| 1154660819 | Terry Cleve Blanks Jr. | Dentist | 895 S. Dexter Ave, Deland, FL 32720 | 2013-01-31 |
| 1760735005 | Melissa Renae Williams | Dentist | 1045 Williamsburg Rd, Deland, FL 32720-1449 | 2012-10-24 |
| 1457581217 | Christopher H Rae | Dentist | 131 Victoria Commons Blvd, Deland, FL 32724 | 2009-07-15 |
| 1023279262 | John William Pittman II | Dentist | 730 West Plymouth Av, Deland, FL 32720 | 2008-06-20 |
| 1801099882 | Anthony Joseph Visconti IIi | Dentist | 333 E New York Ave, Suite B, Deland, FL 32724-5562 | 2007-06-07 |
| 1689885121 | Gregory Carl Moo | Dentist | 1601 Timber Hills Dr, Deland, FL 32724-7978 | 2007-05-25 |
| 1740371822 | Dale D. Batten | Dentist | 123 W Plymouth Ave, Deland, FL 32720-2721 | 2006-09-27 |
| 1710459573 | Juan Andres Amaya | Dentist | 1045 Williamsburg Rd, Deland, FL 32720-1449 | 2018-12-18 |
| 1730667494 | Laif Dane Toland | Dentist | 250 E International Speedway Blvd, Deland, FL 32724-2340 | 2018-08-03 |
| 1376099788 | Dr A Jai Prakash Pa | Dentist | 214 N Spring Garden Ave, Deland, FL 32720-3939 | 2016-08-27 |
| Find all providers in DELAND | ||||
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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.