CARLA TALAVERA-JORDAN D.M.D., P.A. (NPI# 1598979122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598979122 |
| Entity Type | Organization |
| Organization Name | CARLA TALAVERA-JORDAN D.M.D., P.A. |
| Other Organization Name | SOUTH LAKE DENTAL |
| Practice Address |
533 Cagan Park Ave Suite 307 Clermont FL 34714 |
| Mailing Address |
533 Cagan Park Ave Suite 307 Clermont FL 34714-4867 |
| Practice Telephone | 3522420912 |
| Practice Fax Number | 3522422712 |
| Mailing Telephone | 3522420912 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-11-26 |
| Authorized Official Name | DR. CARLA PATRICIA TALAVERA-JORDAN (PRESIDENT) |
| Authorized Official Telephone | 3522420912 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN 16454 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| South Lake Dental | Doing Business As Name - Organization |
| Street Address |
533 CAGAN PARK AVE SUITE 307 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017515 | Fresenius Medical Care Four Corners, LLC | Clinic/Center | 503 Cagan View Rd, Ste 300, Clermont, FL 34714 | 2019-01-23 |
| 1255803771 | Natalia M Soto- Robles | Case Manager/Care Coordinator | 2624 Duncan Trail, Kissimmee, FL 34714 | 2018-12-21 |
| 1487145249 | Arelis Negron | Early Intervention Provider Agency | 4408 Blue Mesa Ct., Clermont, FL 34714 | 2018-05-28 |
| 1164931945 | Lisa Hernandez | Behavior Technician | 3232 Callerton Rd, Clermont, FL 34714 | 2017-09-25 |
| 1356879100 | Jacquelyn Giglio | Speech-Language Pathologist | 1050 Highway 27 Suite 9, Clermont, FL 34714 | 2017-05-24 |
| 1518367192 | Michael Edward Gilman | Clinic/Center | 221 Frontage Road, Suite A, Clermont, FL 34714 | 2014-09-02 |
| 1255776175 | Yeimi Larios | Occupational Therapy Assistant | 2938 State Road 33, Clermont, FL 34714 | 2013-05-06 |
| 1346467339 | Doris Cruz | Dentist | 1100 Us Highway 27, Suite D, Clermont, FL 34714 | 2007-04-19 |
| 1003816570 | Ntc Urgent Care Centers,llc | Clinic/Center | 1503 Sunrise Plaza Drive, Clermont, FL 34714 | 2005-07-27 |
| 1518491695 | Yamille Feliciano Aponte | Counselor | 221 Frontage Road, Suite A, Clermont, FL 34714 | 2017-04-17 |
| Find all providers in zip 34714 | ||||
| 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 |
|---|---|---|---|---|
| 1568074193 | Ideal Dental of Clermont | Dentist | 2612 S Hwy 27 Ste 600, Clermont, FL 34711-6526 | 2020-08-17 |
| 1518451988 | Michael Scott Davis | Dentist | 290 Citrus Tower Blvd Ste 104, Clermont, FL 34711-2783 | 2018-06-19 |
| 1588181820 | Kristen Lane Ramirez | Dentist | 2501 S Hwy 27, Clermont, FL 34711-7008 | 2017-08-28 |
| 1174071500 | Clermont Smiles Dentistry, Pa | Dentist | 900 Hooks Street, 100, Clermont, FL 34711 | 2016-09-14 |
| 1801246160 | Yesha Patel Shah | Dentist | 2105 Hartwood Marsh Rd Ste 3, Clermont, FL 34711-5390 | 2016-06-17 |
| 1780030429 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2620 E Hwy 50, Suite 100, Clermont, FL 34711-6034 | 2016-05-12 |
| 1609250331 | Egle Skruodyte | Dentist | 13900 County Rd 455, #109 B, Clermont, FL 34711 | 2015-07-13 |
| 1629415856 | Nisrine Cabani Dmd LLC | Dentist | 4371 S Highway 27, Clermont, FL 34711-5349 | 2013-05-29 |
| 1699054296 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1381 Citrus Tower Blvd Ste 101, Clermont, FL 34711-1957 | 2011-08-12 |
| 1740569607 | Bella Bella Dental Group | Dentist | 3185 Citrus Tower Blvd, Clermont, FL 34711 | 2011-08-10 |
| Find all providers in CLERMONT | ||||
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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.