DOROTHY THEOGENE (NPI# 1699055004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699055004 |
| Entity Type | Individual |
| Full Name | DOROTHY THEOGENE |
| Credential | DDS |
| Practice Address |
7814 N Dale Mabry Hwy Tampa FL 33614-3220 |
| Mailing Address |
Po Box 82969 Tampa FL 33682-2969 |
| Practice Telephone | 8134053939 |
| Practice Fax Number | 8134053938 |
| Mailing Telephone | 8138660930 |
| Mailing Fax Number | 8138660929 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2015-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
HAD47 | FL | Dental Providers |
| Street Address |
7814 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023065315 | Mario Eduardo Polanco | Dentist | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2006-05-30 |
| 1972125482 | Laura Davis Walls | Registered Nurse | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2020-05-07 |
| 1225681398 | Adam Bastille | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2019-07-18 |
| 1033779590 | Jesus Santos Moreno | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2019-06-17 |
| 1982112926 | Michelle J Vice | Physician Assistant | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2018-01-11 |
| 1881123669 | Edda Marie Jimenez Quinones | Pharmacist | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2017-06-06 |
| 1508399601 | Pollyanna Sanchez-martinez Pitt | Family Medicine | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2017-04-05 |
| 1831639822 | Bethany Baker | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614 | 2017-02-24 |
| 1124487996 | Erin Burgasser | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2016-02-22 |
| 1164880308 | Yordenys Collazo Eijo | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2016-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487181541 | Alejandra Nathalie Polanco | Dentist | 10909 W Linebaugh Ave Ste 102, Tampa, FL 33626-1741 | 2017-05-18 |
| 1124497821 | Chelsea Monteleone | Dentist | 3806 W Linebaugh Ave, Tampa, FL 33618-8702 | 2015-09-23 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1689084162 | Christina Makram | Dentist | 13027 W Linebaugh Ave Ste 102, Tampa, FL 33626-4477 | 2014-05-05 |
| 1902242431 | Farnaz Adibi | Dentist | 3942 Britton Plz, Tampa, FL 33611-1408 | 2013-05-10 |
| 1215146493 | Ana Marai Vales | Dentist | 1540 S Dale Mabry Hwy, Tampa, FL 33629-5842 | 2007-05-22 |
| 1407923154 | Dr Duga, Dr Feeney & Associates | Dentist | 15293 Amberly Dr, Tampa, FL 33647 | 2006-11-29 |
| 1255420642 | Erika Sue Pettinato | Dentist | 14497 N Dale Mabry Hwy, Suite 100, Tampa, FL 33618-2047 | 2006-10-12 |
| 1043310204 | Dwight E. Sanjuan | Dentist | 6532 Gunn Hwy, Tampa, FL 33625-4022 | 2006-09-25 |
| 1093816928 | Robyn Britt Lesser | Dentist | 6415 Sheldon Rd, Tampa, FL 33615-3102 | 2006-09-25 |
| Find all providers in TAMPA | ||||
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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.