FAIRFIELD DENTAL CENTER (NPI# 1417066275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417066275 |
| Entity Type | Organization |
| Organization Name | FAIRFIELD DENTAL CENTER |
| Other Organization Name | FAIRFIELD DENTAL CENTER |
| Practice Address |
4800 W. Fairfield Drive Pensacola FL 32506 |
| Practice Telephone | 8504569201 |
| Practice Fax Number | 8504574073 |
| Mailing Telephone | 8504569201 |
| Mailing Fax Number | 8504574073 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-12-10 |
| Authorized Official Name | MRS. LINDA S MCLAMB (INSURANCE DEPT) |
| Authorized Official Telephone | 8504569201 |
| Is Organization Subpart | Y |
| Parent Organization Name | HODGE & MARTIN PA. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Fairfield Dental Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780893651 | Fairfield Dental Center | Dentist | 271 Us Highway 46, Suite D-108, Fairfield, NJ 07004-2440 | 2007-05-21 |
| Street Address |
4800 W. FAIRFIELD DRIVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332942 | Abigail Irene Dudek | Behavior Technician | 6800 West Us-98, Pensacola, FL 32506 | 2020-06-26 |
| 1053957274 | Melissa Marie Swango | Technician | 3 Usher Cir, Pensacola, FL 32506 | 2019-11-22 |
| 1215479506 | Kerry Jo Pham | Advanced Practice Midwife | 225 N New Warrington Rd, Pensacola, FL 32506 | 2016-11-17 |
| 1750761375 | Congleton Eye Care, LLC | Optometrist | 4600 Mobile Hwy, Suite 122, Pensacola, FL 32506 | 2015-06-09 |
| 1033312293 | Rogelio Tridanio Martinez Sr. | Pain Medicine | 4806 Mobile Highway, Suite D, Pensacola, FL 32506 | 2007-06-06 |
| 1215023726 | Martha Goff | Pharmacist | 50 S. Blue Angel Parkway, Pensacola, FL 32506 | 2006-10-04 |
| 1881703635 | John Daniel Hodge | Dentist | 4800 W Fairfield Dr, Pensacola, FL 32506 | 2006-08-29 |
| 1942277793 | Phillip Martine Drlicka | Dentist | 901 N Warrington Rd, Pensocola, FL 32506 | 2006-03-01 |
| 1083694186 | Lester Shawn Bowling | Internal Medicine | 321 South Fairfield Dr, Pensacola, FL 32506 | 2006-01-17 |
| 1114433166 | Stephanie E Hattaway | Nurse Practitioner | 4929 Mobile Hwy, Pensacola, FL 32506 | 2017-12-28 |
| Find all providers in zip 32506 | ||||
| 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 |
|---|---|---|---|---|
| 1942728803 | Paul Rolfes | Dentist | 450 Turner St Ste A, Pensacola, FL 32508-5276 | 2017-08-31 |
| 1831619204 | Atticus Lawton Deacon | Dentist | 1133 Airport Blvd, Pensacola, FL 32504-8607 | 2017-06-26 |
| 1831577725 | Benjamin Clark White | Dentist | 1108 N 12th Ave, Suite C, Pensacola, FL 32501-3308 | 2015-05-11 |
| 1225427818 | Perdido Bay Dental Pa | Dentist | 12950 Lillian Hwy, Pensacola, FL 32506-8423 | 2015-01-20 |
| 1841690997 | Angel Vasquez | Dentist | 5710 N Davis Hwy Ste 1, Pensacola, FL 32503-2039 | 2014-08-26 |
| 1790184323 | Thomas W. Betterbed | Dentist | 665 Palomar Dr, #107, Pensacola, FL 32507-3379 | 2014-08-20 |
| 1134535875 | Taylor Mcgraw Mercke | Dentist | 5710 N Davis Hwy, Unit One, Pensacola, FL 32503-2088 | 2014-07-02 |
| 1295179745 | Victoria Lane Tidwell | Dentist | 12385 Sorrento Rd Ste B1, Pensacola, FL 32507-8656 | 2013-04-25 |
| 1578827127 | Jenna Marie Richards | Dentist | 760 East Ave Bldg 3911, Pensacola, FL 32508-5136 | 2012-06-28 |
| 1457614059 | Tyra Loriz Dmd | Dentist | 3298 Summit Blvd Ste 49, Pensacola, FL 32503-4350 | 2012-06-19 |
| Find all providers in PENSACOLA | ||||
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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.