BRUCE NOVARK (NPI# 1407175227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407175227 |
| Entity Type | Individual |
| Full Name | BRUCE NOVARK |
| Credential | DDS |
| Practice Address |
2355 Stanford Ct Unit 701 Naples FL 34112-4813 |
| Practice Telephone | (239) 566-7425 |
| Practice Fax Number | 2395933430 |
| Mailing Telephone | (239) 566-7425 |
| Mailing Fax Number | 2395933430 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN18507 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DENTAL LICENSE | DN 18507 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 811 7th Ave S, Naples, FL 341026715 | 2392637425 | 2392633430 |
| Street Address |
2355 STANFORD CT UNIT 701 |
| City | NAPLES |
| State | FL |
| Zip Code | 34112-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107760 | John Sebastian Saia | Internal Medicine | 2355 Stanford Ct Unit 701, Naples, FL 34112-4813 | 2005-07-14 |
| 1992969976 | Joan R Benz | Family Medicine | 2355 Stanford Ct Unit 701, Naples, FL 34112-4813 | 2008-07-18 |
| 1063546836 | James Sheridan Kelley | Ophthalmology | 2355 Stanford Ct Unit 701, Naples, FL 34112-4813 | 2007-03-15 |
| 1922016799 | Don Bradke | Personal Emergency Response Attendant | 2355 Stanford Ct Unit 701, Naples, FL 34112-4813 | 2006-08-04 |
| 1124044417 | Edward Francis Banaszak | Internal Medicine | 2355 Stanford Ct Unit 701, Naples, FL 34112-4813 | 2006-07-14 |
| 1316914484 | Bruce Genovese | Internal Medicine | 2355 Stanford Ct Unit 701, Naples, FL 34112-4813 | 2006-03-07 |
| 1669460077 | Robert A Nordland | Obstetrics & Gynecology | 2355 Stanford Ct Unit 701, Naples, FL 34112-4813 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548887508 | Warly Gonzalez Moreno | Nurse Practitioner | 6188 Parkers Hammock Rd, Naples, FL 34112 | 2020-06-25 |
| 1568944056 | Rx Care 10 LLC | Pharmacy | 3975 Tamiami Trail E, Naples, FL 34112 | 2018-08-31 |
| 1174030373 | Edward H Sharon | Dentist | 2355 Stanford Court, Unit 701, Naples, FL 34112 | 2018-01-09 |
| 1740708379 | Stephanie Eugene | Home Health Aide | 4101 Rose Ave Unit A, Naples, FL 34112 | 2017-09-04 |
| 1730624883 | Danielle Dora Byers | Nurse Practitioner | 4525 Thomasson Dr Ste 104, Naples, FL 34112 | 2016-12-28 |
| 1457787798 | Christine Claire Oswald | Counselor | 2500 Airport Pulling Rd, Suite 207, Naples, FL 34112 | 2013-09-18 |
| 1750628467 | Jennifer June Johnson | Pharmacist | 3350 Tamiami Trail E, Publix Pharmacy, Naples, FL 34112 | 2013-01-15 |
| 1306190384 | Leeann Dunnington | Nurse Practitioner | 4524 Thomasson Dr, Naples, FL 34112 | 2012-10-30 |
| 1124346945 | Gary Vaughn Burkholder | Dentist | 3301 Tamiami Trail East, Naples, FL 34112 | 2010-05-05 |
| 1912220559 | Mayquel Salgado | Massage Therapist | 2345 Stanford Ct Ste 603, Naples, FL 34112 | 2010-03-10 |
| Find all providers in zip 34112 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049292 | Elizabeth Chavez | Dentist | 15495 Tamiami Trl N Ste 125, Naples, FL 34110-6210 | 2020-07-06 |
| 1831731942 | Florida Dental Professionals, P.a. | Dentist | 681 Goodlette Frank Rd Ste 110, Naples, FL 34102-5612 | 2019-10-09 |
| 1710446836 | Finger Lakes Dental Care of Naples, Pllc | Dentist | 24 Mill Street, Naples, NY 14512-0369 | 2019-03-18 |
| 1245709641 | Florida Dental Professionals, P.a. | Dentist | 4933 Tamiami Trl N Ste 100, Naples, FL 34103-3028 | 2018-11-15 |
| 1023502986 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 7705 Collier Blvd Unit 403, Naples, FL 34114-2772 | 2018-06-14 |
| 1407353758 | Nathalie Carolina Garcia | Dentist | 7219 Radio Rd, Naples, FL 34104-6707 | 2018-04-11 |
| 1891293387 | Florida Dental Professionals, P.a. | Dentist | 6360 Pine Ridge Rd Ste 202, Naples, FL 34119-3907 | 2018-01-30 |
| 1174030373 | Edward H Sharon | Dentist | 2355 Stanford Court, Unit 701, Naples, FL 34112 | 2018-01-09 |
| 1528571510 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 8921 Immokalee Rd, Naples, FL 34120 | 2017-11-13 |
| 1629594148 | John E Tiano Dds Pa | Dentist | 6654 Collier Blvd Ste 104, Naples, FL 34114-8178 | 2017-08-16 |
| Find all providers in NAPLES | ||||
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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.