VANESSA HAZBUN BRENNAN (NPI# 1336378603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336378603 |
| Entity Type | Individual |
| Full Name | VANESSA HAZBUN BRENNAN |
| Credential | DMD |
| Practice Address |
1454 Madison Ave W Immokalee FL 34142-2200 |
| Practice Telephone | 2396583197 |
| Practice Fax Number | 2396583091 |
| Mailing Telephone | 2396583024 |
| Mailing Fax Number | 2396583091 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2011-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN 18764 | FL | Dental Providers |
| Street Address |
1454 MADISON AVE W |
| City | IMMOKALEE |
| State | FL |
| Zip Code | 34142-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617484 | Van Keith Riley | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2005-05-31 |
| 1467071076 | Riha Wadhwa | Student in an Organized Health Care Education/Training Program | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2020-04-14 |
| 1558821918 | Ilmary Enid Arce Febles | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2019-03-21 |
| 1578047221 | Frances Sanchez Duverge | Psychologist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2018-09-19 |
| 1043716996 | Anthony Tyler Riggio | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2018-03-31 |
| 1891210399 | Jean Kesnold Mesidor | Psychologist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2017-08-07 |
| 1952852758 | Christell Sanchez | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1740731447 | Paul Beingolea | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1093266892 | Olga Guerrero | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1184175986 | Orayna Perez | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432622 | Gabriels House of Care Fl. LLC | Acupuncturist | 212 South First St., Immokalee, FL 34142 | 2019-02-04 |
| 1851662472 | Seminole Tribe of Florida | Clinic/Center | 1120 S. First Street, Immokalee, FL 34142 | 2012-01-13 |
| 1881849826 | Michael Kane | Dentist | 1013 W. Main St., Unit 6a, Immokalee, FL 34142 | 2008-11-18 |
| 1699870485 | Jane J Darien | Social Worker | 425 North First St, Immokalee, FL 34142 | 2006-09-14 |
| 1659873891 | Dayna Sue Shull | Specialist/Technologist | 5050 Ave Maria Blvd, Ave Maria, FL 34142 | 2018-03-04 |
| 1457881922 | Immokalee Dental P.a. | Dentist | 1013 W. Main St., Unit 6a, Immokalee, FL 34142 | 2017-06-15 |
| 1063687838 | Alexandra Bianca Sarac | Pediatrics | 1441 Heritage Blvd, Immokalee, FL 34142 | 2008-04-23 |
| 1215262977 | Mid State Mental Health Assessment Inc | Psychologist | 7052 Annunciation Circle, Suite 329, Ave Maria, FL 34142-0000 | 2009-10-13 |
| 1194343194 | Laury Garcia | Social Worker | 3511 Carson Lakes Cir, Immokalee, FL 34142-2092 | 2020-07-07 |
| 1558399550 | Georges Etienne Quesnel | Obstetrics & Gynecology | Marion E Fether Medical Center, 1454 Madison Ave. W, Immokalee, FL 34142-2200 | 2006-06-29 |
| Find all providers in zip 34142 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881849826 | Michael Kane | Dentist | 1013 W. Main St., Unit 6a, Immokalee, FL 34142 | 2008-11-18 |
| 1033569447 | Julie Alexandra Mancera Loftin | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-06-16 |
| 1972979219 | Alexandra Zabala | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2015-08-20 |
| 1699853887 | Kelley Purvis Johnson | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619236 | William Garnett Newton | Dentist | 128 Yelvington Rd., East Palatka, FL 32131 | 2020-11-04 |
| 1003416017 | Phillip Jeffery Kelemen | Dentist | 5913 Plainview Dr, Port Orange, FL 32127-8911 | 2020-10-28 |
| 1215536081 | Kenneth A Mogell Dmd Pa | Dentist | 787 37th St Ste 180, Vero Beach, FL 32960-7305 | 2020-10-22 |
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1477151520 | Beacon Dental LLC | Dentist | 800 Se 4th Ave Ste 720, Hallandale Beach, FL 33009-6496 | 2020-10-12 |
| 1972100451 | South Florida Sleep Solutions LLC | Dentist | 9100 Sw 53rd St, Cooper City, FL 33328-5021 | 2020-10-07 |
| 1346847134 | Kenward & Mayoral Dentistry Partnership | Dentist | 8950 Sw 74th Ct Ste 1212, Miami, FL 33156-3170 | 2020-10-05 |
| 1174139893 | Haitham Nabood | Dentist | 7504 Ne 6th Ct Apt 5, Miami, FL 33138-5184 | 2020-09-17 |
| 1689289613 | Sydney Taylor Brown | Dentist | 4455 Sam Mitchell Dr Unit Dental, Chipley, FL 32428-3501 | 2020-09-15 |
| 1679188957 | Kai Ta Huang | Dentist | 1950 Laurel Manor Dr Ste 160, The Villages, FL 32162-5610 | 2020-09-13 |
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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.