NORTH PORT ORAL SURGERY INC. (NPI# 1710119177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710119177 |
| Entity Type | Organization |
| Organization Name | NORTH PORT ORAL SURGERY INC. |
| Practice Address |
2787 Sycamore St Building F, Suite 106 North Port FL 34289 |
| Practice Telephone | 9414231750 |
| Practice Fax Number | 9414232005 |
| Mailing Telephone | 9414231750 |
| Mailing Fax Number | 9414232005 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |
| Authorized Official Name | DR. MARK CHRIS BURNE (SURGEON/CEO) |
| Authorized Official Telephone | 9414231750 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN18166 | FL | Ambulatory Health Care Facilities |
| Street Address |
2787 SYCAMORE ST BUILDING F, SUITE 106 |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659477727 | Mark C Burne | Dentist | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289 | 2006-09-16 |
| 1295275964 | North Port Oral Surgery and Dental Arts Inc. | Clinic/Center | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289-9513 | 2017-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477085439 | Heather Proctor | Counselor | 2571 N Toledo Blade Blvd Unit 3, North Port, FL 34289 | 2017-03-29 |
| 1649538281 | Lisa Beth Gussin | Counselor | 2562 Commerce Parkway, North Port, FL 34289 | 2012-05-02 |
| 1790090538 | Flagel Pediatric & Family Medicine P A | Clinic/Center | 2572 Commerce Parkway, North Port, FL 34289 | 2010-08-17 |
| 1427101773 | Belinda Alma | Counselor | 2564 Commerce Pkwy., Suite 1, North Port, FL 34289 | 2007-01-19 |
| 1184885014 | Maytal Adlersberg | Physical Therapy Assistant | 2334 Rosewood Ln, North Port, FL 34289-1404 | 2008-06-23 |
| 1578698346 | Daniela Sodre | Speech-Language Pathologist | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2007-02-22 |
| 1316551765 | Heather Sifford | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-09-03 |
| 1619590460 | Cassie Wills | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| 1992328819 | Jennifer Charles | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| 1902429855 | Dominique M Poulter | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| Find all providers in zip 34289 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480696 | North Port Smiles LLC | Clinic/Center | 13801 Tamiami Trl Ste B, North Port, FL 34287-2017 | 2019-07-24 |
| 1295275964 | North Port Oral Surgery and Dental Arts Inc. | Clinic/Center | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289-9513 | 2017-03-01 |
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| 1992312730 | Rocent Dental Care, Inc. | Clinic/Center | 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 | 2020-09-25 |
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1952916306 | Simmons Services LLC | Clinic/Center | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PORT |
| Zip Code | 34289 |
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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.