DR. BONNIE MISIAK (NPI# 1699877860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699877860 |
| Entity Type | Individual |
| Full Name | DR. BONNIE MISIAK |
| Credential | DDS |
| Practice Address |
115 K D Revell Rd Wauchula FL 33873-2051 |
| Practice Telephone | 8637734161 |
| Mailing Telephone | 8637734161 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2013-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DN16641 | FL | Dental Providers |
| N | 124Q00000X | Dental Hygienist | DH17043 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DH LICENSE | DH17043 | 01 |
| FL | 027924211 | 05 | |
| FL | DDS LICENSE | DN16641 | 01 |
| Street Address |
115 K D REVELL RD |
| City | WAUCHULA |
| State | FL |
| Zip Code | 33873-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932175023 | Elizabeth P Luzod | General Practice | 115 K D Revell Rd, Wauchula, FL 33873-2051 | 2006-02-27 |
| 1992346902 | Sara Beth Sarantos | Registered Nurse | 115 K D Revell Rd, Wauchula, FL 33873-2051 | 2019-10-01 |
| 1265086805 | Gema Vanegas | Nurse Practitioner | 115 K D Revell Rd, Wauchula, FL 33873-2051 | 2019-07-31 |
| 1306380290 | Amanda Rodriguez | Dental Hygienist | 115 K D Revell Rd, Wauchula, FL 33873-2051 | 2016-12-12 |
| 1396143251 | Celia Reed | Registered Nurse | 115 K D Revell Rd, Wauchula, FL 33873-2051 | 2014-12-09 |
| 1588060628 | Brenda Farmer | Registered Nurse | 115 K D Revell Rd, Wauchula, FL 33873-2051 | 2014-11-18 |
| 1508283110 | Cheryl Bone | Registered Nurse | 115 K D Revell Rd, Wauchula, FL 33873-2051 | 2014-03-20 |
| 1992953947 | Amanda J Johnson | Registered Nurse | 115 K D Revell Rd, Wauchula, FL 33873-2051 | 2008-09-03 |
| 1215075742 | James R Adamson | Dentist | 115 K D Revell Rd, Wauchula, FL 33873-2051 | 2007-02-05 |
| 1063572964 | Sonia C Franco | Registered Nurse | 115 K D Revell Rd, Wauchula, FL 33873-2051 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134668726 | Davinci Healthcare Management, Inc | In Home Supportive Care | 1772 Doyle Carlton Road, Wauchula, FL 33873 | 2017-02-16 |
| 1609261056 | Gloria Jean Shackelford | Massage Therapist | 114 W Orange St, Wauchula, FL 33873 | 2015-04-02 |
| 1790116911 | Central Florida Health Care, Inc. | Clinic/Center | 121 Kd Revell Road, Wauchula, FL 33873 | 2013-12-13 |
| 1386902252 | Peaceful Mental Health Asociate, LLC | Counselor | 105 South 9th Ave., Wauchula, FL 33873 | 2012-04-30 |
| 1962672105 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 301 S. 6th Ave, Wauchula, FL 33873 | 2008-03-04 |
| 1225249667 | Magali Bobe | Physical Therapist | 1330 Highway.17 South, Wauchula, FL 33873 | 2007-05-25 |
| 1285849075 | Dentalcentre of West Fl. Pa | Dentist | 203 South 7th Ave, Wauchula, FL 33873 | 2007-05-14 |
| 1275680324 | Douglas Oliver Smith | Occupational Therapist | 1330 Highway 17 South, Wauchula, FL 33873 | 2007-01-04 |
| 1649354713 | Hardee Countyboard of County Commissioners | Ambulance | 149 Kd Revell Rd, Wauchula, FL 33873 | 2006-10-25 |
| 1194810879 | John Ash | Case Manager/Care Coordinator | 213 E Orange Street, Suite B Peace River Center, Wauchula, FL 33873 | 2006-10-04 |
| Find all providers in zip 33873 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912994914 | Angela M Cooper | Dentist | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655408 | Bedside Dental Services | Dentist | 15654 Sw 14th St, Miami, FL 33194-2627 | 2020-09-23 |
| 1609417815 | Arthur Farlow Burt | Dentist | 7655 W Gulf To Lake Hwy Ste 8, Crystal River, FL 34429-7910 | 2019-09-30 |
| 1518422294 | Brittany Fennell | Dentist | 13201 New Berlin Rd, Jacksonville, FL 32226 | 2019-02-06 |
| 1760954408 | Bright Smiles Dental Studio,pa Dba | Dentist | 730 Goodlette Rd N Ste 206, Naples, FL 34102-5618 | 2018-12-19 |
| 1730650839 | Smile Family Dental Group LLC | Dentist | 1900 Coral Way Ste 200, Coral Gables, FL 33145-2661 | 2018-12-16 |
| 1740779735 | Complete Family Dentistry, LLC | Dentist | 3015 Bayview Drive Suite B, Fort Lauderdale, FL 33306 | 2018-05-04 |
| 1255705273 | Theoral Health Institute | Dentist | 910 Sw 15th St, Deerfield Beach, FL 33441-6222 | 2015-11-16 |
| 1861802738 | Anette Betaneor, Dds, Pa | Dentist | 8372 Sw 40 St, Miami, FL 33155 | 2014-05-01 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| 1942556337 | Avalondental Group | Dentist | 12950 E Colonial Dr Ste 124, Orlando, FL 32826-4609 | 2012-08-03 |
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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.