MARVIN SLOTT DDS PA (NPI# 1538338439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538338439 |
| Entity Type | Organization |
| Organization Name | MARVIN SLOTT DDS PA |
| Other Organization Name | MARVIN SLOTT DDS PA |
| Practice Address |
6801 Nw 9th Blvd Ste 1 Gainesville FL 32605-4263 |
| Practice Telephone | 3523312016 |
| Practice Fax Number | 3523311676 |
| Mailing Telephone | 3523312016 |
| Mailing Fax Number | 3523311676 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | MARVIN SLOTT (PRESIDENT) |
| Authorized Official Telephone | 3523312016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN5801 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBSFL | 85255 | 01 |
| FL | MEDICAID | 074111600 | 01 |
| Other Name | Type Code |
|---|---|
| Marvin Slott DDS PA | Former Legal Business Name - Organization |
| Street Address |
6801 NW 9TH BLVD STE 1 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1013251065 | Hamad A Alharbi | Dentist | 1395 Center Drive Oral and Maxillofacial Surgery, Gainesville, FL 32610-1005 | 2012-11-15 |
| 1306108865 | W Jones Phillips Dds PC | Dentist | 698 Medical Park Ln, Gainesville, GA 30501-2084 | 2012-06-11 |
| 1376821777 | Williamson T. Ratliff | Dentist | 2121 Nw 40th Ter Ste C, Gainesville, FL 32605-5814 | 2011-08-02 |
| 1750524351 | Neeraj Ravindra Nagella | Dentist | 3736 Nw 27th St, Gainesville, FL 32605-2074 | 2009-04-13 |
| 1376615880 | Nevil Phillip Bush | Dentist | 1221 A Sherwood Park Dr Ne, Gainesville, GA 30501 | 2006-11-14 |
| 1023117629 | Philip Erich Koch | Dentist | 1221 Sherwood Park Drive, Suite B, Gainesville, GA 30501 | 2006-09-21 |
| 1578674271 | Fred H Simonton IIi | Dentist | 1221 Sherwood Park Dr Ne Ste C, Gainesville, GA 30501-3404 | 2006-08-31 |
| 1336174846 | Caton & Taylor Pa | Dentist | 2121 Nw 40th Terrace, Ste C, Gainesville, FL 32605 | 2006-07-12 |
| 1225022833 | Mark Phillip Moore | Dentist | 2048 Windward Ln, Gainesville, GA 30501-7418 | 2005-09-09 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on MARVIN SLOTT DDS PA.
| 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.