DR. BRANDON LEE GREENWALT (NPI# 1194087742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194087742 |
| Entity Type | Individual |
| Full Name | DR. BRANDON LEE GREENWALT |
| Credential | DMD |
| Practice Address |
410 Ne Waldo Rd Gainesville FL 32641-5685 |
| Mailing Address |
1302 River St Palatka FL 32177-5042 |
| Practice Telephone | 3523753790 |
| Practice Fax Number | 3523753791 |
| Mailing Telephone | 3863288371 |
| Mailing Fax Number | 3863281519 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2013-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN 19737 | FL | Dental Providers |
| Street Address |
410 NE WALDO RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32641-5685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245229475 | Cristina Maria Vazquez | Pharmacist | 410 Ne Waldo Rd, Gainesville, FL 32641-5685 | 2005-10-20 |
| 1417411836 | Reathea Felder | Family Medicine | 410 Ne Waldo Rd, Gainesville, FL 32641-5685 | 2019-01-30 |
| 1477048080 | Lara Rae Rybak | Family Medicine | 410 Ne Waldo Rd, Gainesville, FL 32641 | 2018-06-26 |
| 1588047468 | Volha Titov | Dentist | 410 Ne Waldo Rd, Gainesville, FL 32641 | 2015-07-09 |
| 1093101172 | Jessica Prince | Student in an Organized Health Care Education/Training Program | 410 Ne Waldo Rd, Gainesville, FL 32641-5685 | 2015-04-15 |
| 1851789523 | Donna Fox | Dental Hygienist | 410 Ne Waldo Rd, Gainesville, FL 32641-5685 | 2015-01-05 |
| 1528321544 | Robert Cory Kalifeh | Dentist | 410 Ne Waldo Rd, Gainesville, FL 32641-5685 | 2012-06-25 |
| 1740594050 | Rural Health Care, Inc. | Clinic/Center | 410 Ne Waldo Rd, Gainesville, FL 32641-5685 | 2010-07-28 |
| 1710113899 | Kelly Bliss Koscso | Dentist | 410 Ne Waldo Rd, Gainesville, FL 32641-5685 | 2009-06-03 |
| 1215196621 | Elvira Silveria Mercado | Family Medicine | 410 Ne Waldo Rd, Gainesville, FL 32641 | 2008-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578060323 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1120 E University Ave Ste 200, Gainesville, FL 32641 | 2018-04-09 |
| 1750882940 | Enough Love LLC | In Home Supportive Care | 1424 Ne 4th Avenue, Gainesville, FL 32641 | 2018-02-23 |
| 1053822981 | Thomas Richard Obrien | Licensed Practical Nurse | 1604 S.e. 3rd Ave., Gainesville, FL 32641 | 2017-10-18 |
| 1184842734 | Abigail N Yeh | Music Therapist | 2610 Se 31st St, Gainesville, FL 32641 | 2007-04-20 |
| 1023120920 | Lynne Marie Webster | Registered Nurse | Achd 224 Se 24th St, Gainesville, FL 32641 | 2006-08-31 |
| 1720523095 | Samantha Jade Smith | Psychologist | 1200 Ne 55th Blvd, Gainesville, FL 32641 | 2016-12-22 |
| 1871967133 | Caitlin Gable | Social Worker | 1604 Se 3rd Ave, Gainesville, FL 32641 | 2015-11-23 |
| 1184097966 | Bhumi Patel | Physician Assistant | 224 Se 24th Street, Gainesville, FL 32641 | 2015-11-03 |
| 1447425202 | Wal-mart Stores East, Lp | Technician/Technologist | 1800 Ne 12th Ave, Gainsville, FL 32641 | 2008-04-23 |
| 1457439770 | Rosa M Martin | General Practice | 1200 Ne 55th Blvd, Gainesville, FL 32641 | 2006-11-02 |
| Find all providers in zip 32641 | ||||
| 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 |
|---|---|---|---|---|
| 1437761871 | Amanda Ghaffari | Dentist | 8992 Sw 67th Pl, Gainesville, FL 32608-9222 | 2020-08-18 |
| 1326665878 | Ryan Richard Clance | Dentist | 1395 Center Dr # D1-40, Gainesville, FL 32610-3006 | 2020-07-01 |
| 1033735386 | Adam Hadsell | Dentist | 1395 Center Dr # D-17, Gainesville, FL 32610-3006 | 2020-06-23 |
| 1174147292 | Carol Gilbert-orrego | Dentist | 1844 Nw 42nd Ave, Gainesville, FL 32605-1935 | 2020-06-04 |
| 1881227379 | Roaa Sabri Alshafei | Dentist | 1395 Center Dr Ste D2-27, Gainesville, FL 32610-3006 | 2020-02-13 |
| 1679106116 | Yasser Merdad | Dentist | 425 W University Ave Apt 4412, Gainesville, FL 32601-5207 | 2020-02-12 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104385541 | Andreina Dulanto | Dentist | 1395 Center Dr Rm D10-33, Gainesville, FL 32610-3006 | 2019-03-15 |
| 1578027314 | Stephen H Schwartz | Dentist | 4305 Granison Chase, Gainesville, GA 30504-9286 | 2019-01-25 |
| 1366916744 | Pbt Dental LLC | Dentist | 590 S Enota Dr Ne Ste 2, Gainesville, GA 30501-2433 | 2019-01-18 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32641 |
Please comment or provide details below to improve the information on DR. BRANDON LEE GREENWALT.
| 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.