EDWARD FITZPATRICK (NPI# 1194765305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194765305 |
| Entity Type | Individual |
| Full Name | EDWARD FITZPATRICK |
| Credential | D.D.S. |
| Practice Address |
18303 E 10 Mile Rd Suite 150 Roseville MI 48066-4988 |
| Practice Telephone | 5867732000 |
| Practice Fax Number | 5867730408 |
| Mailing Telephone | 5867732000 |
| Mailing Fax Number | 5867730408 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
14404 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699923805 | Edward J Fitzpatrick IIi | Chiropractor | 89 Ellen Ave, Mahopac, NY 10541 | 2008-08-29 |
| 1891795431 | Edward Fitzpatrick | Internal Medicine | 7220 17th Ave, Brooklyn, NY 11204-5141 | 2005-07-26 |
| 1972664449 | Edward Ted Fitzpatrick | Podiatrist | 6325 Main St, Suite 200, Williamsville, NY 14221-5822 | 2006-12-12 |
| 1326022104 | Edward J. Fitzpatrick | Social Worker | 912 Barnette St, Fairbanks, AK 99701-4510 | 2005-12-05 |
| 1144222415 | Edward P Fitzpatrick | Ophthalmology | 1 Lake St, New Britain, CT 06052-1396 | 2005-06-01 |
| Street Address |
18303 E 10 MILE RD SUITE 150 |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337689 | Joel C Engel | Internal Medicine | 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066-4988 | 2005-06-21 |
| 1962888354 | Pacharee Kulwattanaporn | Dentist | 18303 E 10 Mile Rd, Suite 150, Roseville, MI 48066-4988 | 2015-08-07 |
| 1578990339 | Elizabeth Smith | Social Worker | 18303 E 10 Mile Rd, Roseville, MI 48066-4988 | 2013-10-10 |
| 1740625524 | Lydia Joy Rayes | Family Medicine | 18303 E 10 Mile Rd, Suite 500, Roseville, MI 48066-4988 | 2013-05-07 |
| 1043458516 | Gennea Nickole Moore | Psychologist | 18303 E 10 Mile Rd, Roseville, MI 48066-4988 | 2009-01-21 |
| 1477733756 | Paul Campbell Do PC | Family Medicine | 18303 E 10 Mile Rd, Roseville, MI 48066-4988 | 2007-11-05 |
| 1477754323 | Ali H Shakir | Internal Medicine | 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066-4988 | 2007-05-29 |
| 1679783344 | Bobak Taher Rabbani | Internal Medicine | 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066-4988 | 2007-05-23 |
| 1154350890 | Cardiovascular Institute of Michigan, P.C. | Internal Medicine | 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066-4988 | 2006-07-03 |
| 1902853021 | Endodontic Associates | Dentist | 18303 E 10 Mile Rd, Roseville, MI 48066-4988 | 2006-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144672874 | Andrey Antonenko | Dentist | 10 Sierra Gate Plz Ste 190, Roseville, CA 95678-6647 | 2016-07-06 |
| 1316221674 | Dwyer & Dow, A Dental Corp. | Dentist | 730 Sunrise Avenue #110, Roseville, CA 95661-4549 | 2011-10-05 |
| 1922296391 | Bruce M. Holt, D.d.s., Inc. | Dentist | 1421 Secret Ravine Pkwy., Suite 101, Roseville, CA 95661 | 2007-10-10 |
| 1740357706 | James Robert Dow | Dentist | 730 Sunrise Ave, Suite 110, Roseville, CA 95661-4549 | 2006-11-28 |
| 1275617367 | Thomas George Dwyer | Dentist | 730 Sunrise Avenue, #110, Roseville, CA 95661-4549 | 2006-10-25 |
| 1659936441 | Wdwrosevillepllc | Dentist | 21055 E 12 Mile Rd, Roseville, MI 48066-2205 | 2019-05-07 |
| 1962888354 | Pacharee Kulwattanaporn | Dentist | 18303 E 10 Mile Rd, Suite 150, Roseville, MI 48066-4988 | 2015-08-07 |
| 1851772362 | Dental Specialists of Minnesota, Pllc | Dentist | 2200 County Road C W, Suite 2210, Roseville, MN 55113-2550 | 2015-06-11 |
| 1891933875 | Edmond Kenneth Chow | Dentist | 2420 Professional Dr, Roseville, CA 95661-7773 | 2009-01-28 |
| 1194980284 | Kevin J. O'neill, D.d.s., M.s.d., Inc. | Dentist | 10 Sierra Gate Plz, Suite #190, Roseville, CA 95678-6645 | 2008-07-28 |
| Find all providers in ROSEVILLE | ||||
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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.