COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA (NPI# 1285080929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285080929 |
| Entity Type | Organization |
| Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Other Organization Name | DENTAL CARE OF WEST MELBOURNE |
| Practice Address |
715 Palm Bay Rd Ne Suite 107 West Melbourne FL 32904-9167 |
| Practice Telephone | 3213327375 |
| Mailing Telephone | 3213272427 |
| Mailing Fax Number | 3219144202 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING TEAM LEAD) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Care of West Melbourne | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366975575 | Comfortable Care Dental Health Professionals, Pa | Dentist | 10670 Sw Tradition Pkwy, Port St Lucie, FL 34987-2862 | 2017-04-05 |
| 1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1780130336 | Comfortable Care Dental Health Professionals, Pa | Dentist | 14606 Sr 70 E, Lakewood Ranch, FL 34202 | 2016-09-01 |
| 1871048165 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4999 N Tanner Rd, Orlando, FL 32826-6520 | 2016-08-17 |
| 1124571500 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4232 E County Road 466, Suite 101, Oxford, FL 34484 | 2016-08-02 |
| 1780030429 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2620 E Hwy 50, Suite 100, Clermont, FL 34711-6034 | 2016-05-12 |
| 1568816155 | Comfortable Care Dental Health Professionals, Pa | Dentist | 16731 East Colonial Drive, Orlando, FL 32820 | 2016-04-20 |
| 1013379635 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2529 Santa Barbara Blvd, Suite 100, Cape Coral, FL 33914-4455 | 2016-03-23 |
| Street Address |
715 PALM BAY RD NE SUITE 107 |
| City | WEST MELBOURNE |
| State | FL |
| Zip Code | 32904-9167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396856795 | Janice G Wahl | Dentist | 1061 S Wickham Rd, West Melbourne, FL 32904-1652 | 2006-08-31 |
| 1518075530 | Thomas John Blue | Dentist | 575 S Wickham Rd Ste D, West Melbourne, FL 32904-1170 | 2006-08-29 |
| 1780201160 | Charles K James | Dentist | 249 Palm Bay Rd Ne, West Melbourne, FL 32904-8602 | 2020-07-01 |
| 1952830580 | Michael D. Hoang | Dentist | 249 Palm Bay Rd Ne, West Melbourne, FL 32904-8602 | 2017-06-07 |
| 1447786462 | Reinier Tejeda Gonzalez | Dentist | 249 Palm Bay Rd Ne, West Melbourne, FL 32904-8602 | 2017-05-11 |
| 1598143034 | Healing Smiles Pllc | Dentist | 249 Palm Bay Rd Ne, West Melbourne, FL 32904-8602 | 2015-05-18 |
| 1740302629 | Timothy Luong | Dentist | 1529 W New Haven Ave, The Shoppes of West Melbourne, West Melbourne, FL 32904-3927 | 2007-04-04 |
| 1649388661 | Effie Kronis Blue | Dentist | 575 S Wickham Rd Ste D, West Melbourne, FL 32904-1170 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326843 | Stellar Smiles Inc. | Dentist | 1501 Corporate Dr Apt 311, Boynton Beach, FL 33426-6600 | 2020-11-07 |
| 1962003269 | Magic Touch Dentistry, P.a. | Dentist | 2 Oakwood Blvd Ste 150a, Hollywood, FL 33020-1960 | 2020-11-03 |
| 1982203584 | Crystel Ananos Riggs Dmd Pa | Dentist | 900 Se Ocean Blvd Ste 248, Stuart, FL 34994-3501 | 2020-10-23 |
| 1053910315 | Dental Buddies of Vero Beach | Dentist | 3755 7th Ter Ste 303, Vero Beach, FL 32960-6547 | 2020-10-19 |
| 1295332013 | Dentists of Nona, Pa | Dentist | 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 | 2020-10-05 |
| 1073110177 | Coral Springs Dental Group, LLC | Dentist | 2029 N University Dr, Coral Springs, FL 33071-6132 | 2020-10-02 |
| 1316554686 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 15800 Orange Blvd, Loxahatchee, FL 33470-3442 | 2020-09-30 |
| 1861009136 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 5068 W State Road 46, Sanford, FL 32771-9246 | 2020-09-30 |
| 1003423922 | Aurora Dental Group, P.a | Dentist | 6176 Sw 8 Street, Miami, FL 33144 | 2020-09-24 |
| 1063029122 | Steven Gross | Dentist | 2021 Ne 210th St, Miami, FL 33179-1629 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | WEST MELBOURNE |
| Zip Code | 32904 |
Please comment or provide details below to improve the information on COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA.
| 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.