MICHAEL R JUBA DDS INC (NPI# 1386198356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386198356 |
| Entity Type | Organization |
| Organization Name | MICHAEL R JUBA DDS INC |
| Practice Address |
704 N Splitrock Blvd Brandon SD 57005-2053 |
| Mailing Address |
704 N Splitrock Blvd Po Box 624 Brandon SD 57005-2053 |
| Practice Telephone | 6055827102 |
| Practice Fax Number | 6055827109 |
| Mailing Telephone | 6055827102 |
| Mailing Fax Number | 6055827109 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Authorized Official Name | DR. MICHAEL JUBA (OWNER/DENTIST) |
| Authorized Official Telephone | 6055827102 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | M592 | SD | Dental Providers |
| Street Address |
704 N SPLITROCK BLVD |
| City | BRANDON |
| State | SD |
| Zip Code | 57005-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124161773 | Michael R Juba | Dentist | 704 N Splitrock Blvd, Brandon, SD 57005 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794926 | Sarah Hewitt | Counselor | 316 E Holly Blvd, Brandon, SD 57005 | 2019-01-15 |
| 1790175388 | Cody Lee Kruckenberg | Chiropractor | 312 E Holly Blvd, Brandon, SD 57005 | 2015-02-03 |
| 1356577159 | Matthew Krivarchka | Dentist | 1511 W. Holly Boulevard, Brandon, SD 57005 | 2009-06-08 |
| 1851546253 | Karla Karrin Jorgenson | Occupational Therapist | 103 North Splitrock Blvd, Brandon, SD 57005 | 2008-11-26 |
| 1598954364 | David Fitzgerald Ward Dc | Chiropractor | 1302 E Rushmore, Brandon, SD 57005 | 2007-10-17 |
| 1477675437 | Kara Lynn Baas | Counselor | 1320 E Rushmore Drive, Suite 107, Brandon, SD 57005 | 2007-04-03 |
| 1548334246 | Med Star Paramedic Inc | Non-emergency Medical Transport (VAN) | 922 E Redwood Blvd, Brandon, SD 57005 | 2006-11-17 |
| 1386723468 | Prairie Rehabilitation Services, Inc. | Durable Medical Equipment & Medical Supplies | 1220 E. Holly Blvd, Brandon, SD 57005 | 2006-11-02 |
| 1396780698 | Barbara Harvison | Physician Assistant | 1101 E Holly Blvd, Brandon, SD 57005 | 2006-06-19 |
| 1326121807 | David Fitzgerald Ward | Chiropractor | 1302 E Rushmore Dr, Brandon, SD 57005-0408 | 2006-10-20 |
| Find all providers in zip 57005 | ||||
| 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 |
|---|---|---|---|---|
| 1821615717 | Michael Chanthalangsy | Dentist | 724 Lithia Pinecrest Rd, Brandon, FL 33511-6117 | 2020-06-26 |
| 1396255501 | Happy Family Dental Group, Inc. | Dentist | 510 Westbrook Ave, Brandon, FL 33511 | 2017-10-03 |
| 1558717223 | Tasneeem Chaballout | Dentist | 2119 W Brandon Blvd Ste F, Brandon, FL 33511-4731 | 2016-05-11 |
| 1649658527 | Intl. Dental Group of Florida | Dentist | 520 Oakfield Dr, Brandon, FL 33511-5743 | 2015-05-12 |
| 1922419597 | Brandon Mall Dental P.a. | Dentist | 675 Brandon Town Center Mall, Brandon, FL 33511-4770 | 2014-05-16 |
| 1588088223 | Dental Assoc of South Brandon | Dentist | 611 E Bloomingdale Ave, Suite C, Brandon, FL 33511-8127 | 2014-02-18 |
| 1700213188 | Mark David Mellman | Dentist | 721 W. Robertson St., Suite 107, Brandon, FL 33511 | 2013-10-01 |
| 1982043451 | Phu Van | Dentist | 511 W Brandon Blvd, Brandon, FL 33511-5003 | 2013-06-18 |
| 1013278423 | Brandon Smiles | Dentist | 926 Lumsden Rd., Brandon, FL 33511 | 2012-06-01 |
| 1508140138 | David J Busciglio Dmd Pa | Dentist | 611 Lumsden Professional Ct, Brandon, FL 33511-5996 | 2011-09-30 |
| Find all providers in BRANDON | ||||
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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.