PAUL QUINLAN DDS PL (NPI# 1457775165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457775165 |
| Entity Type | Organization |
| Organization Name | PAUL QUINLAN DDS PL |
| Other Organization Name | SANTA ROSA FAMILY DENTISTRY |
| Practice Address |
4311 Gulf Breeze Pkwy Gulf Breeze FL 32563-9152 |
| Practice Telephone | 8509103840 |
| Mailing Telephone | 8509103840 |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |
| Authorized Official Name | DR. PAUL QUINLAN (DENTIST) |
| Authorized Official Telephone | 8509320831 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 122400000X | Denturist | Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| N | 126900000X | Dental Laboratory Technician | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FEDERAL BLUE CROSS BLUE SHIELD | 67804 | 01 |
| FL | FLORIDA COMBINED LIFE | 86885 | 01 |
| FL | UNITED CONCORDIA | 3006844 | 01 |
| Other Name | Type Code |
|---|---|
| Santa Rosa Family Dentistry | Doing Business As Name - Organization |
| Street Address |
4311 GULF BREEZE PKWY |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32563-9152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427318773 | Gina Arline Bertuglia | Dentist | 4311 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-9152 | 2012-05-21 |
| 1831758549 | Ethan Sadowski | Dentist | 4311 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-9152 | 2019-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180475 | Sacred Heart Health System, Inc. | Orthopaedic Surgery | 4033 Gulf Breeze Pkwy, Ste D, Gulf Breeze, FL 32563 | 2017-08-22 |
| 1881121457 | Jay Arnold | Dentist | 1480 Tiger Park Ln, Gulf Breeze, FL 32563 | 2017-05-15 |
| 1457506826 | Horace Lindsay Simpson | Surgery | 4435 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2008-11-26 |
| 1972795508 | Barbara Mary Ebel | Anesthesiology | 4435 Gulf Breeze Parkway, Good Samaritan Clinic, Gulf Breeze, FL 32563 | 2007-08-17 |
| 1275670374 | Karen Cann | Physical Therapist | 4657 Gulf Breeze Pkwy., Suites A & B, Gulf Breeze, FL 32563 | 2007-01-30 |
| 1356423719 | Cynthia Urmos | Chiropractor | 2870 Gulf Breeze Parkway, Gulf Breeze, FL 32563 | 2006-10-19 |
| 1538260690 | Donna Theresa Englehart | Counselor | 3463 Sycamore Lane, Gulf Breeze, FL 32563 | 2006-09-25 |
| 1932695475 | Lynette Hale | Nurse Practitioner | 3416 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-07-09 |
| 1285136937 | Jessica Roth | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-03-07 |
| 1821511544 | Samantha Monroe | Behavior Technician | 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2017-07-25 |
| Find all providers in zip 32563 | ||||
| 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 |
|---|---|---|---|---|
| 1255983375 | Chandler Fulton Pritchett | Dentist | 1480 Tiger Point Ln, Gulf Breeze, FL 32563-3444 | 2019-07-09 |
| 1427540475 | Mina M Sidhom | Dentist | 1900 Reserve Blvd Apt 4106, Gulf Breeze, FL 32563-7092 | 2018-06-05 |
| 1366858870 | Iti Agarwal | Dentist | 5840 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-9571 | 2014-07-03 |
| 1225161862 | Nicole B. Barrineau D.d.s., P.a. | Dentist | 3404 Santa Rosa Dr, Gulf Breeze, FL 32563-5665 | 2007-03-13 |
| 1124188842 | Irving Richardson Lester | Dentist | 3474 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3406 | 2006-12-11 |
| 1316011000 | Randall Scott Bailey Sr. | Dentist | 85 Nightingale Ln, Gulf Breeze, FL 32561-4337 | 2006-11-17 |
| 1871674739 | Philip Lee Gibson | Dentist | 13 Center St, Gulf Breeze, FL 32561-4370 | 2006-10-18 |
| 1871694786 | Donald S. Hansen, P.a. | Dentist | 2715 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3047 | 2006-09-25 |
| 1215042262 | James E Pewitt | Dentist | 1371 Country Club Rd, Gulf Breeze, FL 32563-3451 | 2006-08-20 |
| 1407100720 | Stephen Frances Xavier Zieman | Dentist | 13 Center St, Gulf Breeze, FL 32561-4370 | 2012-11-08 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32563 |
Please comment or provide details below to improve the information on PAUL QUINLAN DDS PL.
| 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.