BRADLEY KENT CAMMACK (NPI# 1699107342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699107342 |
| Entity Type | Individual |
| Full Name | BRADLEY KENT CAMMACK |
| Credential | DMD |
| Practice Address |
Moved 534 Keily Street, Bureau of Medicine & Surgery Centralized Credential & Privileging Jacksonville FL 32234 |
| Mailing Address |
534 Keily Street, Bureau of Medicine & Surgery Centralized Credential & Privileging Jacksonville FL 32234 |
| Practice Telephone | 7579539672 |
| Mailing Telephone | 7579539672 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D008742 | AZ | Dental Providers |
| Street Address |
MOVED 534 KEILY STREET , BUREAU OF MEDICINE & SURGERY CENTRALIZED CREDENTIAL & PRIVILEGING |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026748 | Sandra Nicole Frye | Massage Therapist | 5894 Long Branch Rd, Jacksonville, FL 32234 | 2020-09-01 |
| 1467923946 | Shopjveon LLC | In Home Supportive Care | 15402 Hidden Foal Drive, Jacksonville, FL 32234 | 2018-12-10 |
| 1033276878 | Adoracion Poblete Sotomayor | Family Medicine | 365 West Oliver Street, Baldwin, FL 32234-0608 | 2007-01-02 |
| 1033660121 | Tatiana Burrough | Specialist/Technologist | 291 Mill St W, Jacksonville, FL 32234-1307 | 2016-10-24 |
| 1851835565 | Mark Seymore | Licensed Practical Nurse | 860 Us Highway 90 E, Baldwin, FL 32234-1727 | 2016-12-14 |
| 1437761830 | Johanna I Gates | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-18 |
| 1851851554 | Veronica H Bartley | Nurse Practitioner | 15319 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2019-03-20 |
| 1942813233 | Authentic Healthcare, LLC | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-26 |
| 1821304411 | Keriomi N Timpson-bey | Counselor | 15414 Spotted Stallion Trl, Jacksonville, FL 32234-2398 | 2010-08-20 |
| 1801438486 | Twyla D Carley | Nurse Practitioner | 15181 Bareback Dr, Jacksonville, FL 32234-2431 | 2019-10-15 |
| Find all providers in zip 32234 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419864 | Andre M Fang | Dentist | 6801 Roosevelt Blvd, Jacksonville, FL 32212-1192 | 2020-08-28 |
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1093323479 | Britney Marie Cruz | Dentist | 1280 Western Blvd Unit 200, Jacksonville, NC 28546-7658 | 2020-07-21 |
| 1083238786 | Sleep Better Solutions LLC | Dentist | 4215 Southpoint Blvd Ste 240, Jacksonville, FL 32216-0932 | 2020-05-29 |
| 1114550258 | James Moran | Dentist | 7990 Baymeadows Rd E # 718, Jacksonville, FL 32256-2961 | 2020-02-18 |
| 1265075329 | Latoya Goins | Dentist | 1280 Western Blvd, Jacksonville, NC 28546-6653 | 2019-10-22 |
| 1437706462 | Stephanie Marquez | Dentist | 751 Oak St Ste 601, Jacksonville, FL 32204-3373 | 2019-08-23 |
| 1831751064 | Rachel Marie Schloth | Dentist | 12086 Fort Caroline Rd Ste 105, Jacksonville, FL 32225-2688 | 2019-07-09 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1235796954 | Carolina Garcia | Dentist | 790 Skymarks Dr Ste 109, Jacksonville, FL 32218-7267 | 2019-05-29 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32234 |
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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.