DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA (NPI# 1316377641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316377641 |
| Entity Type | Organization |
| Organization Name | DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA |
| Other Organization Name | WATERSIDE DENTAL |
| Practice Address |
1214 E Venice Ave Ste B Venice FL 34285-7165 |
| Mailing Address |
9400 4th St N Ste 200 St Petersburg FL 33702-2501 |
| Practice Telephone | 9414848481 |
| Practice Fax Number | 9414856101 |
| Mailing Telephone | 7278008026 |
| Mailing Fax Number | 7273396543 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2020-08-12 |
| NPI Deactivation Date | 07/09/2020 |
| NPI Reactivation Date | 2020-08-12 |
| Authorized Official Name | NANCY SCHIAPARELLI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7278008026 |
| Is Organization Subpart | Y |
| Parent Organization Name | DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN11595 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Waterside Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750786729 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 2555 Enterprise Rd Ste 3, Clearwater, FL 33763-1104 | 2014-11-03 |
| 1841692191 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 8620 S Tamiami Trl # A-c, Sarasota, FL 34238-3049 | 2014-09-18 |
| 1417357096 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 218 53rd Ave W, Bradenton, FL 34207-3412 | 2014-09-02 |
| 1487067344 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3731 Nw 40th Ter Ste A, Gainesville, FL 32606-8148 | 2014-06-09 |
| 1043623903 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 4131 University Blvd S Ste 10, Jacksonville, FL 32216-4346 | 2014-06-09 |
| 1568892792 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 1931 Tamiami Trl Ste 106, Port Charlotte, FL 33948-2181 | 2013-11-26 |
| 1457781361 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 1058 N Tamiami Trl Ste 106, Sarasota, FL 34236-2427 | 2013-11-14 |
| 1164731857 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 657 Tamiami Trl S, Venice, FL 34285-3237 | 2010-09-29 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1629387477 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 8620 S. Tamiami Trail A-c, Sarasota, FL 34238 | 2010-09-28 |
| Street Address |
1214 E VENICE AVE STE B |
| City | VENICE |
| State | FL |
| Zip Code | 34285-7165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| 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 |
|---|---|---|---|---|
| 1992310866 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 12152 Mercado Dr, Venice, FL 34293-1155 | 2020-09-09 |
| 1457990566 | Venice Dental Care, Pa | Dentist | 1515 Tamiami Trl S Ste 3, Venice, FL 34285-5557 | 2020-01-06 |
| 1548606874 | Ximena Velasquez-pierce | Dentist | 1872 S Tamiami Trl Ste E, Venice, FL 34293-3129 | 2013-05-14 |
| 1497008510 | Rebecca Swartz | Dentist | 1500 E Venice Ave Unit 203, Venice, FL 34292-1664 | 2012-10-26 |
| 1003191180 | Malwin & Malwin Family Dentistry Pa | Dentist | 343 W. Miami Ave, Venice, FL 34285 | 2011-10-20 |
| 1609164011 | Sonriesza Enterprises LLC | Dentist | 4153 Unit B South Tamiami Trail, Venice, FL 34293 | 2011-07-19 |
| 1164731857 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 657 Tamiami Trl S, Venice, FL 34285-3237 | 2010-09-29 |
| 1053548842 | Ty Griffiths | Dentist | 1872 Tamiami Trl S Ste F, Venice, FL 34293-3129 | 2009-06-18 |
| 1790951812 | Andrew John Swenson | Dentist | 1900 Tamiami Trl S, Venice, FL 34293-5001 | 2008-05-08 |
| 1437332616 | Gaeta Dental Health Professionals, Pa | Dentist | 609 Tamiami Trl S, Venice, FL 34285-3237 | 2007-12-11 |
| Find all providers in VENICE | ||||
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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.