DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA (NPI# 1568892792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568892792 |
| Entity Type | Organization |
| Organization Name | DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA |
| Other Organization Name | WATERSIDE DENTAL |
| Practice Address |
1931 Tamiami Trl Ste 106 Port Charlotte FL 33948-2181 |
| Practice Telephone | 9415850955 |
| Practice Fax Number | 9413752390 |
| Mailing Telephone | 9415850955 |
| Mailing Fax Number | 9413752390 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | HELEN LARAMEE (CREDENTIALING ADMIN) |
| Authorized Official Telephone | 9419184300 |
| Is Organization Subpart | Y |
| Parent Organization Name | DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN11595 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Waterside Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750786729 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 2555 Enterprise Rd Ste 3, Clearwater, FL 33763-1104 | 2014-11-03 |
| 1841692191 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 8620 S Tamiami Trl # A-c, Sarasota, FL 34238-3049 | 2014-09-18 |
| 1417357096 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 218 53rd Ave W, Bradenton, FL 34207-3412 | 2014-09-02 |
| 1487067344 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3731 Nw 40th Ter Ste A, Gainesville, FL 32606-8148 | 2014-06-09 |
| 1043623903 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 4131 University Blvd S Ste 10, Jacksonville, FL 32216-4346 | 2014-06-09 |
| 1316377641 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 1214 E Venice Ave Ste B, Venice, FL 34285-7165 | 2013-11-22 |
| 1457781361 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 1058 N Tamiami Trl Ste 106, Sarasota, FL 34236-2427 | 2013-11-14 |
| 1164731857 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 657 Tamiami Trl S, Venice, FL 34285-3237 | 2010-09-29 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1629387477 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 8620 S. Tamiami Trail A-c, Sarasota, FL 34238 | 2010-09-28 |
| Street Address |
1931 TAMIAMI TRL STE 106 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-2181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| 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 |
|---|---|---|---|---|
| 1497267942 | Family Dentistry of Port Charlotte | Dentist | 2300 Tamiami Trl # 13&14, Port Charlotte, FL 33952-3900 | 2017-10-24 |
| 1750784955 | Gregory James Brandau | Dentist | 2762 Tamiami Trl, Suite B, Port Charlotte, FL 33952-5128 | 2014-10-01 |
| 1871835868 | Randal C Robertson | Dentist | 21202 Olean Blvd Ste E2, Port Charlotte, FL 33952-6723 | 2013-03-18 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1477736643 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1940 Tamiami Trail, Suite 102, Port Charlotte, FL 33948-2105 | 2007-12-11 |
| 1407050909 | Manuel A Pulido | Dentist | 4161 Tamiami Trail, Suite 604, Port Charlotte, FL 33948 | 2007-06-11 |
| 1770704264 | Donna L. Smolinski, D.m.d., P.a. | Dentist | 970 Kings Hwy Unit 3, Port Charlotte, FL 33980-4213 | 2007-05-01 |
| 1902024631 | Casimer James Ciborowski | Dentist | 941 Tamiami Trl, Suite F, Port Charlotte, FL 33953-3121 | 2007-04-20 |
| 1497970800 | Julia B. Pizarro | Dentist | 2762b Tamiami Trl, Port Charlotte, FL 33952-5128 | 2007-04-13 |
| 1003030420 | Shamus Loftus | Dentist | 3280 Tamiami Trl Ste 56, Port Charlotte, FL 33952-8053 | 2007-04-13 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
Please comment or provide details below to improve the information on DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, 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.