DR. TIMOTHY JAMES PRUETT (NPI# 1699832618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699832618 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JAMES PRUETT |
| Credential | DMD |
| Practice Address |
15820 Dora Ave Suite A Tavares FL 32778 |
| Practice Telephone | 3525895660 |
| Mailing Telephone | 3525895660 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN16819 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659402873 | Timothy L. Pruett | Transplant Surgery | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2007-03-08 |
| 1972645117 | Timothy O Pruett | Nurse Practitioner | 1900 S National Ave, Suite 3600, Springfield, MO 65804-2265 | 2007-02-13 |
| Street Address |
15820 DORA AVE SUITE A |
| City | TAVARES |
| State | FL |
| Zip Code | 32778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619360930 | Anthony Gulde | Dentist | 15820 Dora Ave, Tavares, FL 32778-4969 | 2015-03-11 |
| 1891812632 | Anthony Gulde Dds Pa | Clinic/Center | 15820 Dora Ave, Tavares, FL 32778-4969 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
| Find all providers in zip 32778 | ||||
| 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 |
|---|---|---|---|---|
| 1922130764 | Charles William Reinertsen | Dentist | 215 E Burleigh Blvd, Tavares, FL 32778-2403 | 2007-03-09 |
| 1235179342 | Leonard S Kaplan | Dentist | 2754 Dora Ave, Tavares, FL 32778-4970 | 2006-06-07 |
| 1508207408 | Michael M. Morgan, D.m.d, Pa | Dentist | 2140 Lake Eustis Dr, Tavares, FL 32778-2064 | 2013-07-09 |
| 1497906705 | Lifetime Dental, Inc | Dentist | 215 E Burleigh Blvd, Tavares, FL 32778-2403 | 2008-10-06 |
| 1689825176 | Maria Trinh Luong | Dentist | 215 E Burleigh Blvd, Tavares, FL 32778-2403 | 2008-10-02 |
| 1851516058 | William L Hendry | Dentist | 2140 Lake Eustis Dr, Tavares, FL 32778-2064 | 2007-04-16 |
| 1205843620 | Susan Glenn Caddell | Dentist | 109 W Main St, Tavares, FL 32778-3809 | 2006-08-01 |
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|---|---|---|---|---|
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| 1962003269 | Magic Touch Dentistry, P.a. | Dentist | 2 Oakwood Blvd Ste 150a, Hollywood, FL 33020-1960 | 2020-11-03 |
| 1982203584 | Crystel Ananos Riggs Dmd Pa | Dentist | 900 Se Ocean Blvd Ste 248, Stuart, FL 34994-3501 | 2020-10-23 |
| 1053910315 | Dental Buddies of Vero Beach | Dentist | 3755 7th Ter Ste 303, Vero Beach, FL 32960-6547 | 2020-10-19 |
| 1295332013 | Dentists of Nona, Pa | Dentist | 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 | 2020-10-05 |
| 1073110177 | Coral Springs Dental Group, LLC | Dentist | 2029 N University Dr, Coral Springs, FL 33071-6132 | 2020-10-02 |
| 1316554686 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 15800 Orange Blvd, Loxahatchee, FL 33470-3442 | 2020-09-30 |
| 1861009136 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 5068 W State Road 46, Sanford, FL 32771-9246 | 2020-09-30 |
| 1003423922 | Aurora Dental Group, P.a | Dentist | 6176 Sw 8 Street, Miami, FL 33144 | 2020-09-24 |
| 1063029122 | Steven Gross | Dentist | 2021 Ne 210th St, Miami, FL 33179-1629 | 2020-09-23 |
| 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.