DR. SHAWN TORLIEF ENGEBRETSEN (NPI# 1396789350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396789350 |
| Entity Type | Individual |
| Full Name | DR. SHAWN TORLIEF ENGEBRETSEN |
| Practice Address |
841 E Ocean Blvd Stuart FL 34994-2427 |
| Mailing Address |
1825 Nw Bright River Pt Stuart FL 34994-9407 |
| Practice Telephone | 7722230600 |
| Practice Fax Number | 7722230617 |
| Mailing Telephone | 7722230600 |
| Mailing Fax Number | 7722230617 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2010-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN0009427 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 072275800 | 05 |
| Street Address |
841 E OCEAN BLVD |
| City | STUART |
| State | FL |
| Zip Code | 34994-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194095596 | William E. Lippsich, D.m.d., P.a. | Dentist | 841 E Ocean Blvd, Stuart, FL 34994-2427 | 2012-01-03 |
| 1225200173 | Shawn T Engebretsen Dmd P A | Dentist | 841 E Ocean Blvd, Stuart, FL 34994-2427 | 2008-04-01 |
| 1952337768 | William Edward Lippisch | Dentist | 841 E Ocean Blvd, Stuart, FL 34994-2427 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003252685 | Mark Edward Turner | Dentist | 2410 Nw Federal Hwy, Suite A-110, Stuart, FL 34994-9314 | 2013-05-22 |
| 1205179330 | Scott Eric Feigenbaum | Dentist | 2648 Nw Federal Hwy, Stuart, FL 34994-9318 | 2013-03-27 |
| 1083721955 | Strauss & Strauss D.m.d.s, Pa | Dentist | 821 E Ocean Blvd, Suite A, Stuart, FL 34994-2456 | 2006-08-24 |
| 1992812937 | James Erin Strauss | Dentist | 821 East Ocean Blvd., Suite A, Stuart, FL 34994 | 2006-08-24 |
| 1720195720 | Sorrell Izen Strauss | Dentist | 821 East Ocean Bvld., Suite A, Stuart, FL 34994 | 2006-08-24 |
| 1194095596 | William E. Lippsich, D.m.d., P.a. | Dentist | 841 E Ocean Blvd, Stuart, FL 34994-2427 | 2012-01-03 |
| 1225200173 | Shawn T Engebretsen Dmd P A | Dentist | 841 E Ocean Blvd, Stuart, FL 34994-2427 | 2008-04-01 |
| 1790986933 | Alan Charles Haspel | Dentist | 821 Se Ocean Blvd, Suite A, Stuart, FL 34994-2456 | 2007-05-29 |
| 1700906955 | John David Karpinski | Dentist | 2830 Se Federal Hwy, Stuart, FL 34994-5738 | 2007-03-30 |
| 1952337768 | William Edward Lippisch | Dentist | 841 E Ocean Blvd, Stuart, FL 34994-2427 | 2006-06-23 |
| Find all providers in STUART | ||||
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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.