DR. EHSAN YAHYA SHARAF-ELDEEN (NPI# 1235367350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235367350 |
| Entity Type | Individual |
| Full Name | DR. EHSAN YAHYA SHARAF-ELDEEN |
| Credential | DMD, MD, FACS |
| Practice Address |
1500 Beville Rd Daytona Beach FL 32114 |
| Mailing Address |
7777 N Wickham Rd Ste 4 Melbourne FL 32940-7978 |
| Practice Telephone | 3862536634 |
| Practice Fax Number | 3862588775 |
| Mailing Telephone | 3212556303 |
| Mailing Fax Number | 3212556710 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN18430 | FL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Beville Rd, Daytona Beach, FL 32114 | 3862536634 | 3862588775 |
| 1321 Nw Saint Lucie West Blvd, Port St Lucie, FL 349862139 | 7723430179 | 7728784862 |
| 1500 Beville Rd, Daytona Beach, FL 321145646 | 3522463131 | |
| 1321 Nw Saint Lucie West Blvd, Port St Lucie, FL 349862139 | 3522463131 |
| Street Address |
1500 BEVILLE RD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922451384 | Apurwa Shukla | Dentist | 1500 Beville Rd, Daytona Beach, FL 32114-5646 | 2016-07-20 |
| 1144602939 | Michelle Ensor | Pharmacist | 1500 Beville Rd, Ste 300, Daytona Beach, FL 32114-5646 | 2015-06-29 |
| 1578800272 | Preksha Desai | Pharmacist | 1500 Beville Rd, Ste 300, Daytona Beach, FL 32114-5646 | 2013-01-15 |
| 1831436898 | Lauren L Pikna | Pharmacist | 1500 Beville Rd, Suite 300, Daytona Beach, FL 32114-5646 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083702302 | Michael Karges | Dentist | 624 S Ridgewood Ave Ste D, Daytona Beach, FL 32114-4966 | 2006-10-11 |
| 1558340232 | Roger Rangarajan Thayer | Dentist | 549 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-01-11 |
| 1376806489 | Bradley Mark Pinker | Dentist | 549 Health Blvd, Daytona Beach, FL 32114 | 2012-06-22 |
| 1922026426 | John Akers | Dentist | 549 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-07-17 |
| 1740208255 | Richard Gaines | Dentist | 549 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-07-17 |
| 1730112749 | Curtis Schalit | Dentist | 549 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
| 1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
| 1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.