DR. KELLY STANDISH (NPI# 1538515796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538515796 |
| Entity Type | Individual |
| Full Name | DR. KELLY STANDISH |
| Credential | DMD |
| Practice Address |
1700 Eagle Harbor Parkway East Orange Park FL 32003 |
| Practice Telephone | 9042696558 |
| Practice Fax Number | 9042789292 |
| Mailing Telephone | 9042696558 |
| Mailing Fax Number | 9042789292 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN20176 | FL | Dental Providers |
| Street Address |
1700 EAGLE HARBOR PARKWAY EAST |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| 1235435652 | Trent Charles Harrison | Physical Therapist | 1675 Eagle Harbor Parkway Ste B, Orange Park, FL 32003 | 2011-02-02 |
| Find all providers in zip 32003 | ||||
| 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 |
|---|---|---|---|---|
| 1710394945 | Jessica Garcia | Dentist | 1340 Blanding Blvd, Ste 108, Orange Park, FL 32065-8051 | 2014-07-21 |
| 1710243985 | John J Harrington | Dentist | 1584 Kingsley Ave., Suite A, Orange Park, FL 32073 | 2012-04-02 |
| 1740312750 | Fleming Island Family Dentistry, Pa | Dentist | 1520 Business Center Dr, Suite 1, Orange Park, FL 32003-9011 | 2007-03-12 |
| 1184768475 | Charles Robert Gillam | Dentist | 1695 Wells Rd, Orange Park, FL 32073-6208 | 2007-02-19 |
| 1790850154 | Miguel A Arias | Dentist | 473 Blanding Blvd, Orange Park, FL 32073 | 2006-11-21 |
| 1184643082 | Michael Ralph Moore | Dentist | 410 Blanding Blvd Ste 6b, Orange Park, FL 32073-5065 | 2006-07-19 |
| 1669453759 | Gregory A Archambault | Dentist | 1414 Kingsley Ave, Orange Park, FL 32073-4591 | 2005-11-07 |
| 1164081402 | Emma Hughes | Dentist | 1695 Wells Rd, Orange Park, FL 32073-6208 | 2019-06-11 |
| 1740775493 | Daniella C Sousou | Dentist | 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065-3623 | 2018-06-26 |
| 1982092326 | Periodontal Specialists of North Florida | Dentist | 1409 Kingsley Ave, Suite 9a, Orange Park, FL 32073-4537 | 2015-01-08 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32003 |
Please comment or provide details below to improve the information on DR. KELLY STANDISH.
| 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.