CAPESIDE DENTAL


Address: 3265 Bayside Lakes Blvd Se, Palm Bay, FL 32909-6872
Phone: 3217270011

CAPESIDE DENTAL (NPI# 1669780284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669780284
Entity Type Organization
Organization Name CAPESIDE DENTAL
Other Organization Name CAPESIDE FAMILY DENTISTRY
Practice Address 3265 Bayside Lakes Blvd Se
Palm Bay
FL 32909-6872
Practice Telephone 3217270011
Practice Fax Number 3217270014
Mailing Telephone 3217270011
Mailing Fax Number 3217270014
Enumeration Date 2010-09-16
Last Update Date 2010-09-16
Authorized Official Name SAMUEL B ARTLEY (PRESIDENT)
Authorized Official Telephone 3217270011
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist DN18108 FL Dental Providers
Y 122300000X Dentist DN15346 FL Dental Providers

Other Provider/Organization Names

Other Name Type Code
Capeside Family Dentistry Other Name - Individual/Organization

Office Location

Street Address 3265 BAYSIDE LAKES BLVD SE
City PALM BAY
State FL
Zip Code 32909-6872

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205447349 Sarah Nicosia Registered Nurse 2752 Palisades Dr, Palm Bay, FL 32909 2020-08-12
1447881297 Shangri-la of Palm Bay Alf, LLC Assisted Living Facility 3604 Jupiter Blvd. Se, Palm Bay, FL 32909 2020-01-30
1972094357 Mindful Counseling and Wellness LLC Social Worker 221 Devlin Ct Se, Palm Bay, FL 32909 2018-05-22
1306348859 Mallory Kathleen Herndon Behavior Technician 458 Barcelona Rd, Palm Bay, FL 32909 2018-03-01
1548786627 Chotsani Merrill Home Health Aide 781 Davenport St Se, Palm Bay, FL 32909 2017-08-21
1639629538 Maggie Cameron Clinic/Center 2511 Quentin Ave Ne, Palm Bay, FL 32909 2016-10-04
1194195016 Dawn Goodwin Pharmacist 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 2015-10-05
1124407796 Jorge Ortiz Physical Therapist 470 Malabar Rd Se, Ste 102, Palm Bay, FL 32909 2015-05-28
1932506227 Annalisa Tietjen I Dental Hygienist 714 Ave C, Fort Pierce, FL 32909 2014-12-02
1194147611 Carl Glenmore Morrison Sr. General Practice 2125 Windbrook Drive, Palm Bay, FL 32909 2014-01-17
Find all providers in zip 32909

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700436615 Gladysbel Jimenez Dentist 5132 Minton Rd Nw, Palm Bay, FL 32907-1110 2019-09-13
1952875635 Luis Carlos Mejia Dentist 620 Malabar Rd Se Ste 3, Palm Bay, FL 32907-3109 2019-01-16
1063826170 New Image Dentistry On Minton Dentist 5132 Minton Rd Nw Ste 1, Palm Bay, FL 32907-1110 2014-06-17
1265704548 Atm Amin Dds LLC Dentist 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 2012-02-02
1174803340 Ronald Gene List Dentist 1460 Baytree Dr Ne, Palm Bay, FL 32905-3900 2011-08-19
1134427859 Mark Joseph Urban Dentist 2061 Palm Bay Rd Ne, Suite #103, Palm Bay, FL 32905-7533 2011-03-03
1306155163 Robert Willard Underill Jr. Dentist 2156 Julian Ave Ne, Palm Bay, FL 32905-4020 2010-09-28
1326233214 Andrea Elaine Cunningham Dentist 620 Malabar Rd Se, Suite 3, Palm Bay, FL 32907 2007-09-13
1831396282 Jefferson Michael Pecora Dentist 2105 Palm Bay Road Ne Ste 4-5, Palm Bay, FL 32905 2007-06-29
1629282504 Lori Dianne Nelson Dentist 730 Emerson Dr. Nw, Palm Bay, FL 32907 2007-05-09
Find all providers in PALM BAY

Competitor

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City PALM BAY
Zip Code 32909

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Dataset Information

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.

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