COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. (NPI# 1295375780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295375780 |
| Entity Type | Organization |
| Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. |
| Other Organization Name | BOGGY CREEK DENTAL CARE |
| Practice Address |
13670 Boggy Creek Rd Orlando FL 32824-9203 |
| Practice Telephone | 6892055590 |
| Mailing Telephone | 4078000129 |
| Mailing Fax Number | 4073742053 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Boggy Creek Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554686 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 15800 Orange Blvd, Loxahatchee, FL 33470-3442 | 2020-09-30 |
| 1376158030 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 625 N Us Highway 441, Lady Lake, FL 32159-3714 | 2020-09-10 |
| 1992310866 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 12152 Mercado Dr, Venice, FL 34293-1155 | 2020-09-09 |
| 1871106260 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 | 2020-08-26 |
| 1780293779 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 300 Alt 19 Ste B, Palm Harbor, FL 34683-5356 | 2020-07-27 |
| 1013534023 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 7255 Kathleen Rd, Lakeland, FL 33810-4722 | 2020-06-26 |
| 1316566078 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4921 State Road 674, Wimauma, FL 33598-3534 | 2020-04-13 |
| 1124657572 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 9749 Commercial Way, Weeki Wachee, FL 34613-3979 | 2020-04-07 |
| 1174157275 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5837 Seven Mile Dr, Wildwood, FL 34785-8852 | 2020-02-27 |
| 1093349284 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 202 Ronald Reagan Pkwy, Davenport, FL 33896-9606 | 2020-02-26 |
| Street Address |
13670 BOGGY CREEK RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32824-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546856 | Leslie Joelle Fernandez Bencosme | Dentist | 13670 Boggy Creek Rd, Orlando, FL 32824-9203 | 2019-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013572262 | Laura Enid Martinez | Driver | 2131 Ribbon Falls Pkwy, Orlando, FL 32824 | 2019-05-03 |
| 1629555800 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 14185 Lake Nona Blvd., Orlando, FL 32824 | 2018-07-20 |
| 1740705789 | Ambar Transportation LLC | Non-emergency Medical Transport (VAN) | 2214 Brandywine Falls Way, Orlando, FL 32824 | 2017-08-10 |
| 1528582798 | Carlos E Melgarejo | Case Manager/Care Coordinator | 3467 Somerset Park Dr, Orlando, FL 32824 | 2017-07-31 |
| 1346786621 | Kimkesi Morgan | Clinic/Center | 14365 Queenside St, Orlando, FL 32824 | 2017-01-11 |
| 1154772978 | Azalia Carballo | Behavior Technician | 14940 Day Lily Ct, Orlando, FL 32824 | 2016-06-22 |
| 1326413931 | Marlene Alix | Nurse Practitioner | 12108 Greco Dr., Orlando, FL 32824 | 2015-12-08 |
| 1508230202 | Sandra Pinzon | Case Management | 579 Bohannon Blvd, Orlando, FL 32824 | 2015-11-18 |
| 1225402993 | Cristina Villafane | Speech-Language Pathologist | 3755 Bishop Landing Way, Orlando, FL 32824 | 2015-11-18 |
| 1891171625 | Nidia Xaymara Feliberti | Counselor | 14975 Huntcliff Park Way, Orlando, FL 32824 | 2015-08-04 |
| Find all providers in zip 32824 | ||||
| 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 |
|---|---|---|---|---|
| 1295332013 | Dentists of Nona, Pa | Dentist | 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 | 2020-10-05 |
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1821609454 | Ideal Dental of Lake Nona | Dentist | 12851 Narcoossee Rd Ste 400, Orlando, FL 32832-7155 | 2020-08-17 |
| 1063023703 | Muhammad Sheryar Khan | Dentist | 11712 Savona Way, Orlando, FL 32827-7243 | 2020-08-16 |
| 1306464805 | Orlando Implants Center Pa | Dentist | 300 Gatlin Ave Ste 1-b, Orlando, FL 32806-6951 | 2020-07-10 |
| 1720601628 | Amber Lynn Medellin | Dentist | 7861 Jubilee Park Blvd Apt 2412, Orlando, FL 32822-5258 | 2020-05-26 |
| 1134741960 | Karoline Anne Biami | Dentist | 1444 Alden Rd Apt 502, Orlando, FL 32803-1973 | 2020-05-14 |
| 1568083020 | Ricardo J Cermeno Sr. | Dentist | 6509 Conroy Rd Apt 114, Orlando, FL 32835-3501 | 2020-05-06 |
| 1871149120 | Damien Phillips Blanco | Dentist | 6784 Eagle Watch Dr Ste 550, Orlando, FL 32822-2355 | 2019-08-13 |
| 1144872029 | My Forever Smiles LLC | Dentist | 7208 W Sand Lake Rd Ste 104, Orlando, FL 32819-5277 | 2019-07-11 |
| Find all providers in ORLANDO | ||||
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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.