PARADISE DENTAL (NPI# 1700183431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700183431 |
| Entity Type | Organization |
| Organization Name | PARADISE DENTAL |
| Practice Address |
17840 Toledo Blade Blvd Suite A Port Charlotte FL 33948-1015 |
| Practice Telephone | 9416275858 |
| Practice Fax Number | 9416271863 |
| Mailing Telephone | 9416275858 |
| Mailing Fax Number | 9416271863 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | DR. DAVID WAYNE ROWE (OWNER) |
| Authorized Official Telephone | 9416275858 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366999849 | Paradise Dental | Dentist | 66 E Hill Dr, Mount Juliet, TN 37122-8031 | 2016-09-01 |
| 1609031236 | Paradise Dental | Dentist | 1711 Lakewood Ranch Blvd, Bradenton, FL 34211-4906 | 2008-07-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PARADISE DENTAL ASSOCIATES, LLC | 13 Stratford Road, Marblehead, MA 01945 |
| Massachusetts Corporations | PARADISE DENTAL GROUP, P.C. | 20280 N. 59th Ave. #104, Glendale, AZ 85308 |
| System for Award Management (SAM) Entities | PARADISE DENTAL TECHNOLOGIES | 8275 Hwy 10 W, Missoula, MT 59808-9285 |
| Street Address |
17840 TOLEDO BLADE BLVD SUITE A |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912919861 | Donald A Paradise | Dentist | 17840 Toledo Blade Blvd, Suite A, Port Charlotte, FL 33948 | 2006-08-12 |
| 1174962393 | Abbey Dupay Morales | Dentist | 17840 Toledo Blade Blvd, Suite A, Port Charlotte, FL 33948-1015 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| 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 |
|---|---|---|---|---|
| 1497267942 | Family Dentistry of Port Charlotte | Dentist | 2300 Tamiami Trl # 13&14, Port Charlotte, FL 33952-3900 | 2017-10-24 |
| 1750784955 | Gregory James Brandau | Dentist | 2762 Tamiami Trl, Suite B, Port Charlotte, FL 33952-5128 | 2014-10-01 |
| 1568892792 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 1931 Tamiami Trl Ste 106, Port Charlotte, FL 33948-2181 | 2013-11-26 |
| 1871835868 | Randal C Robertson | Dentist | 21202 Olean Blvd Ste E2, Port Charlotte, FL 33952-6723 | 2013-03-18 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1477736643 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1940 Tamiami Trail, Suite 102, Port Charlotte, FL 33948-2105 | 2007-12-11 |
| 1407050909 | Manuel A Pulido | Dentist | 4161 Tamiami Trail, Suite 604, Port Charlotte, FL 33948 | 2007-06-11 |
| 1770704264 | Donna L. Smolinski, D.m.d., P.a. | Dentist | 970 Kings Hwy Unit 3, Port Charlotte, FL 33980-4213 | 2007-05-01 |
| 1902024631 | Casimer James Ciborowski | Dentist | 941 Tamiami Trl, Suite F, Port Charlotte, FL 33953-3121 | 2007-04-20 |
| 1497970800 | Julia B. Pizarro | Dentist | 2762b Tamiami Trl, Port Charlotte, FL 33952-5128 | 2007-04-13 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
Please comment or provide details below to improve the information on PARADISE DENTAL.
| 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.