DR. MICHAEL EDWARD DEGROOD (NPI# 1619078540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619078540 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EDWARD DEGROOD |
| Credential | D.M.D. |
| Practice Address |
190 N Charles Richard Beall Blvd Ste 104 Debary FL 32713-2218 |
| Mailing Address |
190 N Charles Richard Beall Blvd Ste 104 Debary FL 32713 |
| Practice Telephone | 3866680999 |
| Mailing Telephone | 3866680999 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
0012305 | FL | Dental Providers |
| Street Address |
190 N CHARLES RICHARD BEALL BLVD STE 104 |
| City | DEBARY |
| State | FL |
| Zip Code | 32713-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881666790 | James Carol Thompson Jr. | Internal Medicine | 190 N Charles Richard Beall Blvd, Debary, FL 32713-2271 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162766 | Jessica Crystal Daigle | Nurse Practitioner | 620 Spring Vista Dr, Ste 101, Debary, FL 32713 | 2020-07-23 |
| 1407320476 | 1st Call Urgent Care | Emergency Medicine | 173 North C.r. Beall Blvd., Suite 106, Debbary, FL 32713 | 2019-01-14 |
| 1073029294 | Ryan Patrick Mcneel | Chiropractor | 100 Pond Court, #103, Debary, FL 32713 | 2017-12-26 |
| 1528589249 | Jennifer Ellen Schaich | Technician, Pathology | 223 Bayou Vista St, Debary, FL 32713 | 2017-07-03 |
| 1083090807 | Home Modification Design, LLC | Home Health | 17 Pleasant Hill Drive, Debary, FL 32713 | 2015-08-04 |
| 1215319793 | Orlando Skin Institute, LLC | Dermatology | 110 Pond Ct, Ste 301, Debary, FL 32713 | 2015-06-22 |
| 1811255680 | Dana Louise Cannon | Massage Therapist | 17 Canter Club Court, Debary, FL 32713 | 2012-04-30 |
| 1811265127 | Orly Tyrkala | Pharmacist | 15 N Highway 1792, Debary, FL 32713 | 2011-12-01 |
| 1225331226 | Teresa Miller | Massage Therapist | 430 Summerhaven Drive, 300, Debary, FL 32713 | 2010-12-13 |
| 1043522857 | Amanda Ellen Lang | Behavioral Analyst | 454 Fort Florida Rd, Debary, FL 32713 | 2010-07-08 |
| Find all providers in zip 32713 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114025236 | Endodontics | Dentist | 609 N Charles Richard Beall Blvd Ste 105, Debary, FL 32713-2218 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1154935799 | Orbit Dental Management Pa | Dentist | 1453 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1968 | 2020-09-01 |
| 1790397370 | Bruce D. Schulman, Dds Pa | Dentist | 10150 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3776 | 2020-08-17 |
| 1770117525 | Volusia Endodontics Pa | Dentist | 2751 Enterprise Rd Ste 211, Orange City, FL 32763-8262 | 2020-03-02 |
| 1417587130 | Advanced Endodontics of Winter Park, Pa | Dentist | 400 W Morse Blvd Ste 102, Winter Park, FL 32789-4259 | 2020-01-22 |
| 1699326603 | North Central Florida Endodontics,pllc | Dentist | 48 Se 16th Ave, Ocala, FL 34471-2521 | 2019-09-23 |
| 1396395919 | Stephen L. Goldfaden, Dds,pa | Dentist | 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414 | 2019-09-16 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1437707197 | John Zachary Reynolds | Dentist | 3180 Redeemer Way, New Port Richey, FL 34655-4245 | 2019-08-27 |
| 1497307987 | Bradley Sleeth | Dentist | 942 Goldridge Ct, Orange Park, FL 32065-6259 | 2019-07-15 |
| Find all providers with the same taxonomy | ||||
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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.