ATA DENTAL KISSIMMEE LLC (NPI# 1366001471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366001471 |
| Entity Type | Organization |
| Organization Name | ATA DENTAL KISSIMMEE LLC |
| Practice Address |
3192 S John Young Pkwy Ste B Kissimmee FL 34746-8814 |
| Mailing Address |
3192 S John Young Pkwy Kissimmee FL 34746-8814 |
| Practice Telephone | 4078705151 |
| Practice Fax Number | 4078702556 |
| Mailing Telephone | 4078705151 |
| Mailing Fax Number | 4078702556 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Authorized Official Name | DR. JOSEPH ATA (OWNER) |
| Authorized Official Telephone | 4078705151 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Ata Dental Kissimmee LLC | Doing Business As Name - Organization |
| Street Address |
3192 S JOHN YOUNG PKWY STE B |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34746-8814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548730195 | Suma Joseph Kurian | Nurse Practitioner | Florida Lung Asthma Lung Specialists, 3480 Polynesian Isle Blvd, Kissimmee, FL 34746 | 2018-11-27 |
| 1538663240 | Terri Alexander Charlock | Specialist/Technologist | 5314 Barefoot Path, Kissimmee, FL 34746 | 2018-03-19 |
| 1811404452 | Debbie Camille Carvalho | Psychologist | 4449 Great Habor Lane, Kissimmee, FL 34746 | 2018-01-04 |
| 1679096390 | Sheyla Marie Vargas | Behavior Technician | 4118 Shelter Bay Dr, Kissimmee, FL 34746 | 2017-07-25 |
| 1013464601 | Falguni Patel | Pharmacist | 3298 S John Young Parkway, Kissimmee, FL 34746 | 2016-09-01 |
| 1942656004 | Kheira Liz Rodriguez | Case Manager/Care Coordinator | 198 London Dr, Kissimme, FL 34746 | 2016-05-09 |
| 1821456005 | Irma Valentin | Counselor | 4166 Key Colony Pl, Kissimmee, FL 34746 | 2016-02-03 |
| 1780050310 | Catherine M Alfieri | Physician Assistant | 119 Sunny Oak Trl, Kissimmee, FL 34746 | 2015-08-18 |
| 1396043956 | Mary Staffa | Speech-Language Pathologist | 2222 Granger Ave, Kissimmee, FL 34746 | 2011-03-07 |
| 1457661787 | Melita Cogburn | Counselor | 111 Monument Ave, Suite 509, Kissimmee, FL 34746 | 2010-10-20 |
| Find all providers in zip 34746 | ||||
| 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 |
|---|---|---|---|---|
| 1003476623 | Vera Ton | Dentist | 312 W Bass St, Kissimmee, FL 34741-5001 | 2019-06-17 |
| 1891352159 | Sherin Thamarasseril | Dentist | 2310 E Irlo Bronson Memorial Hwy Ste C-106, Kissimmee, FL 34744-5401 | 2019-05-22 |
| 1427407634 | Ryan Priemer | Dentist | 1050 Buenaventura Blvd, Kissimmee, FL 34743-7865 | 2016-06-08 |
| 1861866782 | Margarita N Romero Quevedo | Dentist | 5043 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-5345 | 2015-11-16 |
| 1275918005 | Charles H Burnes Iv | Dentist | 3304 Greenwald Way N, Kissimmee, FL 34741-0768 | 2015-07-22 |
| 1780958355 | Dr. Suraiya A.kasu Bds Pa | Dentist | 801 W Oak St Ste 102, Kissimmee, FL 34741-6605 | 2012-02-29 |
| 1811281710 | Juliana Correal | Dentist | 3233 S John Young Pkwy, Kissimmee, FL 34746-6543 | 2011-06-08 |
| 1962712182 | Economy Dentures of Kissimmee | Dentist | 1319 E Osceola Pkwy, C, Kissimmee, FL 34744-1605 | 2010-10-21 |
| 1790933554 | Sigma Dental of Kissimmee, LLC | Dentist | 2102 E Osceola Pkwy, Suites 2102-2104, Kissimmee, FL 34743-8630 | 2008-09-05 |
| 1326223058 | Dorothy A Thomsen | Dentist | 909 E Oak St Ste A, Kissimmee, FL 34744-5840 | 2007-12-31 |
| Find all providers in KISSIMMEE | ||||
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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.