DR. THOMAS L.EWIS KLECHAK (NPI# 1497804868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497804868 |
| Entity Type | Individual |
| Full Name | DR. THOMAS L.EWIS KLECHAK |
| Credential | DDS |
| Practice Address |
943 Cesery Blvd Bldg E Jacksonville FL 32211-5635 |
| Practice Telephone | 9047431100 |
| Mailing Telephone | 9047431100 |
| Mailing Fax Number | 9047431173 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN5229 | FL | Dental Providers |
| Street Address |
943 CESERY BLVD BLDG E |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211-5635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689649931 | Todd Trabor Puckett | Dentist | 943 Cesery Blvd, Building # A, Jacksonville, FL 32211-5635 | 2006-02-21 |
| 1295250165 | Wanda Banks | Counselor | 943 Cesery Blvd, Jacksonville, FL 32211-5635 | 2017-08-11 |
| 1104341601 | Howard Evans Weightman IIi | Counselor | 943 Cesery Blvd, Ste G, Jacksonville, FL 32211 | 2017-08-07 |
| 1629502471 | Chantel Williams | Counselor | 943 Cesery Blvd, Suite G, Jacksonville, FL 32211-5635 | 2017-04-19 |
| 1144769712 | Howard Wright | Counselor | 943 Cesery Blvd, Building G, Jacksonville, FL 32211-5635 | 2017-02-15 |
| 1245587609 | Samuel Belton Gaskins Iv | Dentist | 943 Cesery Blvd, Building B, Jacksonville, FL 32211-5635 | 2012-08-04 |
| 1104193119 | James November Phd Pa | Psychologist | 943 Cesery Blvd, Jacksonville, FL 32211-5635 | 2011-11-18 |
| 1346433638 | Lisa Vanetti | Counselor | 943 Cesery Blvd, Suite G, Jacksonville, FL 32211-5635 | 2007-08-21 |
| 1568671485 | Kathy Ann Marks | Social Worker | 943 Cesery Blvd, Building G, Jacksonville, FL 32211-5635 | 2007-05-21 |
| 1457499410 | Eugene Katibah | Dentist | 943 Cesery Blvd, Jacksonville, FL 32211-5635 | 2007-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1518434398 | Michelle Lien Clinton Munoz | Dentist | 1917 Reveille Cir, Jacksonville, AR 72076-9157 | 2018-10-30 |
| 1225543408 | Fateh Arslan | Dentist | 9745 Touchton Rd Unit 1725, Jacksonville, FL 32246-9200 | 2017-12-09 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1184047888 | Rodeffer, Garner, Minor and Mokris Orthodontics | Dentist | 2363 Dunn Avenue, Jacksonville, FL 32218 | 2014-01-31 |
| 1326322678 | Jossette Vo, D.m.d., P.a. | Dentist | 6339 -1 Argyle Forest Blvd, 1, Jacksonville, FL 32244-6666 | 2011-10-05 |
| 1992017164 | Andrew Edward Clark | Dentist | 1036-42 Dunn Ave, Jacksonville, FL 32218-6359 | 2010-07-05 |
| 1598995227 | Lily Ayn Workman | Dentist | 9727 Touchton Rd, Apt 909, Jacksonville, FL 32246-8229 | 2009-07-15 |
| 1396984878 | Terry Tippin, D.m.d., P.l.c. | Dentist | 2800 University Blvd. North, Jacksonville, FL 32211-3394 | 2009-02-06 |
| 1992966816 | Jason M Rice | Dentist | 620 Commerce Center Dr Unit 155, Jacksonville, FL 32225-8803 | 2008-06-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
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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.