DR. MARY MABRY (NPI# 1386262301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386262301 |
| Entity Type | Individual |
| Full Name | DR. MARY MABRY |
| Credential | DMD |
| Practice Address |
4620 S Florida Ave Ste 120 Lakeland FL 33813-2166 |
| Mailing Address |
4315 Talon Loop Apt 303 Lakeland FL 33812-6350 |
| Practice Telephone | 8632165765 |
| Mailing Telephone | 6014663617 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN25129 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912263518 | Mary Anne Mabry | Occupational Therapist | 1106 Loretta Ln, Little Rock, AR 72227-5957 | 2012-04-09 |
| 1376620401 | Mary Mabry | Physician Assistant | 6710 Meadowlawn St, Houston, TX 77023-4014 | 2006-11-01 |
| 1932651932 | Mary Susan Mabry | Registered Nurse | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2016-10-26 |
| 1306022090 | Mary E Mabry | Registered Nurse | 555 N Lime St, Lancaster, PA 17602-2215 | 2008-01-14 |
| Street Address |
4620 S FLORIDA AVE STE 120 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235649518 | Lakeland Modern Dentistry, Pa | Dentist | 4620 S Florida Ave Ste 120, Lakeland, FL 33813-2166 | 2017-10-02 |
| 1013579929 | Shada Ghnaim | Dentist | 4620 S Florida Ave Ste 120, Lakeland, FL 33813-2166 | 2019-07-01 |
| 1720648959 | Vinutha Narayan Rattehalli | Dentist | 4620 S Florida Ave Ste 120, Lakeland, FL 33813-2166 | 2019-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| 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 |
|---|---|---|---|---|
| 1407344435 | Dentists of Lakeland, Pa | Dentist | 3700 Us Highway 98 N Ste 105, Lakeland, FL 33809-3809 | 2018-04-25 |
| 1235649518 | Lakeland Modern Dentistry, Pa | Dentist | 4620 S Florida Ave Ste 120, Lakeland, FL 33813-2166 | 2017-10-02 |
| 1316497134 | Dental Associates of Florida (s. Lakeland) Pllc | Dentist | 444 W Pipkin Rd, Lakeland, FL 33813-2612 | 2016-10-05 |
| 1023564903 | Georges Raffoul | Dentist | 2744 South Florida Ave, Lakeland, FL 33584 | 2016-08-30 |
| 1295289171 | Kendrah Lynn Harper | Dentist | 600 W Peachtree St, Lakeland, FL 33815-1504 | 2016-08-09 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1144605320 | Austin Jordan Davis | Dentist | 8950 Us Highway 64 Ste 108, Lakeland, TN 38002-4566 | 2015-07-29 |
| 1407105083 | Elena Kan | Dentist | 5644 Vintage View Boulevard, Lakeland, FL 33812 | 2012-08-29 |
| 1174827901 | Affordable Dentures - Lakeland, P.a. | Dentist | 3615 S Florida Ave Ste 1230, Lakeland, FL 33803-4808 | 2011-01-09 |
| 1407164502 | Shannon Holer Kelso | Dentist | 2156 Harden Blvd., Lakeland, FL 33803 | 2010-09-23 |
| Find all providers in LAKELAND | ||||
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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.