PIMENDENT II, PA (NPI# 1700203528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700203528 |
| Entity Type | Organization |
| Organization Name | PIMENDENT II, PA |
| Other Organization Name | ASPEN DENTAL |
| Practice Address |
1812 Dunlawton Ave Ste 101 Port Orange FL 32127-2925 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 3862333040 |
| Practice Fax Number | 3867568810 |
| Mailing Telephone | 3154546000 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | AMY MARKO (VP INS OPS) |
| Authorized Official Telephone | 3154546000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17338 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Aspen Dental | Doing Business As Name - Organization |
| Street Address |
1812 DUNLAWTON AVE STE 101 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| 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 |
|---|---|---|---|---|
| 1568955375 | Nicole Hovencamp | Dentist | 4904 Clyde Morris Blvd, Port Orange, FL 32129-4170 | 2018-06-07 |
| 1487179503 | Amandeep Singh Chadda | Dentist | 790 Dunlawton Ave Ste F, Port Orange, FL 32127-4222 | 2017-08-09 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1013320142 | Larissa W Hanson | Dentist | 3777 S Ridgewood Ave, Port Orange, FL 32129-3528 | 2014-06-05 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1427258631 | George A. M. Sonbol | Dentist | 4003 S Nova Rd, Port Orange, FL 32127-4922 | 2007-07-25 |
| 1366655466 | Carl Martin Honerlaw | Dentist | 3943 S Nova Rd, Port Orange, FL 32127-4910 | 2007-05-07 |
| 1720138233 | Cathleen Huong Diem Luong | Dentist | 5820 S Williamson Blvd, Suite #1, Port Orange, FL 32128-6400 | 2007-01-10 |
| 1952314411 | Scott Thomas Messick | Dentist | 840 Dunlawton Ave Ste C, Port Orange, FL 32127-4224 | 2006-08-15 |
| 1164442695 | I Warren Hersch | Dentist | 823 Dunlawton Ave, Suite E, Port Orange, FL 32127-4220 | 2006-07-20 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
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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.