DR. ROBERTO ODRACIR REYES (NPI# 1386268894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386268894 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO ODRACIR REYES |
| Credential | DMD |
| Practice Address |
814 Spring Lake Sq Winter Haven FL 33881-1338 |
| Mailing Address |
1470 Lucerne Loop Rd Ne Winter Haven FL 33881-9329 |
| Practice Telephone | 8635947049 |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2020-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN24858 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303101 | Roberto Reyes | Case Management | 13701 Sw 88th St Ste 301, Miami, FL 33186-1309 | 2020-10-12 |
| 1679716427 | Roberto Reyes | Dentist | 5 De Mayo #406, Puerto Palomas, CHIHUAHUA 31830 | 2009-04-09 |
| 1205449816 | Roberto Reyes | Behavior Technician | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-25 |
| 1285051706 | Roberto Reyes | Case Manager/Care Coordinator | 1320 S Solano Dr, Las Cruces, NM 88001-3758 | 2014-03-21 |
| 1265533178 | Roberto Reyes | Dentist | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2006-09-25 |
| Street Address |
814 SPRING LAKE SQ |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598982407 | Rivelco Enterprises, Inc. | Dentist | 814 Spring Lake Sq, Winter Haven, FL 33881-1338 | 2007-04-20 |
| 1942657796 | Dental View, LLC | Dentist | 814 Spring Lake Sq, Winter Haven, FL 33881-1338 | 2016-05-23 |
| 1316353311 | Monika Reyes | Dentist | 814 Spring Lake Sq, Winter Haven, FL 33881-1338 | 2014-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| 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 |
|---|---|---|---|---|
| 1629615497 | Winter Haven Modern Dentistry, Pa | Dentist | 565 Cypress Gardens Blvd, Winter Haven, FL 33880-4406 | 2019-11-29 |
| 1619436391 | Tiara R Lewis | Dentist | 1425 6th St Nw, Winter Haven, FL 33881-2365 | 2019-03-13 |
| 1477003200 | Dental Associates of Florida (winter Haven) Pllc | Dentist | 329 Cypress Gardens Blvd, Winter Haven, FL 33880-4452 | 2016-10-05 |
| 1235582735 | Jimmy Orphee | Dentist | 361 E Central Ave, Winter Haven, FL 33880-3047 | 2016-07-20 |
| 1265803274 | Kim Haufe | Dentist | 2050 Havendale Blvd Nw, Winter Haven, FL 33881-3817 | 2015-10-16 |
| 1972983898 | An Nguyen | Dentist | 317 Cypress Gardens Blvd, Winter Haven, FL 33880-4452 | 2015-06-05 |
| 1780080291 | James A Truitt | Dentist | 144 Avenue B Nw, Winter Haven, FL 33881-4506 | 2014-11-11 |
| 1891097507 | John R Eycleshimer | Dentist | 399 Ave. K, Se, Winter Haven, FL 33880 | 2010-12-01 |
| 1952566341 | Eric Christopher Garcia | Dentist | 737 W Central Ave, Winter Haven, FL 33880-2823 | 2008-07-24 |
| 1245409523 | James A Truitt Dmd Pa | Dentist | 144 Ave B Nw, Winter Haven, FL 33881 | 2008-02-21 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
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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.