DR. KENYON MCGILL FORT (NPI# 1396830741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396830741 |
| Entity Type | Individual |
| Full Name | DR. KENYON MCGILL FORT |
| Credential | D.D.S. |
| Practice Address |
7135 Dr. M. L. King Jr., Street North St. Petersburg FL 33702 |
| Practice Telephone | 7275255455 |
| Practice Fax Number | 7275257223 |
| Mailing Telephone | 7275255455 |
| Mailing Fax Number | 7275257223 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DN0012496 | FL | Dental Providers |
| Street Address |
7135 DR. M. L. KING JR., STREET NORTH |
| City | ST. PETERSBURG |
| State | FL |
| Zip Code | 33702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
| 1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
| 1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
| 1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
| 1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
| 1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
| 1891203485 | Healthy Lifestyles Tampa Bay LLC | Psychologist | 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 | 2018-01-17 |
| 1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
| Find all providers in zip 33702 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979908 | Maram Bawazir | Dentist | University of Florida Dentistry D8, Gainesville, FL 32610-0001 | 2018-07-21 |
| 1326533043 | Saja A Alramadhan | Dentist | 1395 Center Dr Fl 8, Gainesville, FL 32610-3006 | 2018-06-25 |
| 1851654677 | Wellington Center for Oral and Maxillofacial Surgery | Dentist | 1051 S State Road 7, Building G Suite 1, Wellington, FL 33414-6135 | 2012-06-18 |
| 1023142148 | William Jarmolych | Dentist | 1935 Drew St, Clearwater, FL 33765-3041 | 2007-03-14 |
| 1942339478 | Rosa H. Robison | Dentist | 2131 Westover Reserve Blvd, Windermere, FL 34786 | 2007-03-02 |
| 1932234986 | Gregory Taylor | Dentist | 4410 Sheridan St Ste B, Hollywood, FL 33021-3553 | 2007-02-22 |
| 1811022858 | Ira Stone | Dentist | 4420 Sheridan St Ste B, Hollywood, FL 33021-3552 | 2007-02-22 |
| 1801950902 | Paul Theodore Richman | Dentist | 1045 Ne 125th St, N Miami, FL 33161 | 2006-12-21 |
| 1104911015 | Giancarlo Bland | Dentist | 2499 Glades Rd., Suite 309, Boca Raton, FL 33431-7202 | 2006-10-04 |
| 1225134539 | Scott Elliott Farber | Dentist | 5150 Curry Ford Road, Orlando, FL 32812 | 2006-09-15 |
| Find all providers with the same taxonomy | ||||
| City | ST. PETERSBURG |
| Zip Code | 33702 |
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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.