NEW IMAGE DENTISTRY OF WEST MELBOURNE (NPI# 1659770725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659770725 |
| Entity Type | Organization |
| Organization Name | NEW IMAGE DENTISTRY OF WEST MELBOURNE |
| Practice Address |
2025 W New Haven Ave Melbourne FL 32904-3801 |
| Practice Telephone | 3219565664 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Authorized Official Name | MR. MOHAMMED A MUJEEB (DENTIST) |
| Authorized Official Telephone | 3214344444 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN20767 | FL | Dental Providers |
| Street Address |
2025 W NEW HAVEN AVE |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215416045 | Professional Dental Alliance of West Melbourne, Pllc | Dentist | 2025 W New Haven Ave, Melbourne, FL 32904-3801 | 2018-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| 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 |
|---|---|---|---|---|
| 1891268413 | Dynamic Dental Health Associates of Florida Pa | Dentist | 2419 S Babcock St, Melbourne, FL 32901-5310 | 2019-01-07 |
| 1558840371 | Professional Dental Alliance of Lake Washington, Pllc | Dentist | 3226 Lake Washington Rd Ste 16, Melbourne, FL 32934-7620 | 2018-08-13 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| 1295264232 | Christian Vidalon | Dentist | 7827 N Wickham Rd Ste C, Melbourne, FL 32940-8289 | 2017-06-04 |
| 1851750426 | Derek Chenet | Dentist | 7331 Office Park Pl Ste 100, Melbourne, FL 32940-8238 | 2016-02-11 |
| 1922413046 | Alfredo Enrique Torras Ceballos | Dentist | 6555 N Wickham Rd Ste 106, Melbourne, FL 32940 | 2014-06-26 |
| 1275880742 | Natalia Valderrama Dougherty | Dentist | 903 Jordan Blass Dr Ste 102, Melbourne, FL 32940-1325 | 2012-08-14 |
| 1306118674 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2900 Lake Washington Rd Ste 2, Melbourne, FL 32935-3400 | 2012-02-02 |
| 1952696007 | Daniel Warren Eley | Dentist | 2301 W Eau Gallie Blvd, Suite 102, Melbourne, FL 32935-3120 | 2011-06-16 |
| 1124320585 | Nicholas Brad Rowley | Dentist | 205 W New Haven Ave, Melbourne, FL 32901-4300 | 2010-11-17 |
| Find all providers in MELBOURNE | ||||
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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.