COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA (NPI# 1710407812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710407812 |
| Entity Type | Organization |
| Organization Name | COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA |
| Other Organization Name | MAHAN VILLAGE DENTAL CARE |
| Practice Address |
3120 Mahan Drive Tallahassee FL 32308 |
| Practice Telephone | 8502528214 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Mahan Village Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702158 | Comfortable Care Denta Health Professionals, Pa | Dentist | 11625 Lachlan Lane, Windermere, FL 34786 | 2017-07-07 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1205307816 | Comfortable Care Denta Health Professionals, Pa | Dentist | 2715 W Fairbanks Ave Ste 100, Winter Park, FL 32789-3327 | 2018-12-07 |
| 1144547597 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1375 Town Center Dr, Lakeland, FL 33803-7964 | 2010-04-26 |
| Street Address |
3120 MAHAN DRIVE |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003344698 | George M Jusu | Dentist | 3120 Mahan Drive, Tallahassee, FL 32308 | 2017-05-26 |
| 1417487224 | Gina M Nicoloso | Dentist | 3120 Mahan Drive, Tallahassee, FL 32308 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1487285276 | Tally Dental, Pa | Dentist | 2418 Millcreek Ln # 3, Tallahassee, FL 32308-4368 | 2020-01-30 |
| 1992335715 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 3715 Old Bradfordville Rd, Tallahassee, FL 32312-9501 | 2020-01-21 |
| 1912568114 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 2807 Capital Medical Blvd Ste A, Tallahassee, FL 32308-4438 | 2019-06-27 |
| 1326608662 | Sheref Gadalla | Dentist | 5442 Thomasville Rd Ste 1, Tallahassee, FL 32312-7598 | 2019-06-18 |
| 1699334300 | Calogero D'anna | Dentist | 960 Learning Way #3400, Tallahassee, FL 32306-0001 | 2019-06-07 |
| 1023531704 | Big Bend Cares, Inc. | Dentist | 2200 South Monroe St, Tallahassee, FL 32301-6303 | 2017-07-25 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1245687060 | Erin A Shiveler, Dmd Pllc | Dentist | 2027 Thomasville Rd Ste 101, Tallahassee, FL 32308-0752 | 2016-05-22 |
| 1831581693 | Chanelle Commedore | Dentist | 2700 Blairstone Rd Ste B, Tallahassee, FL 32301-5927 | 2015-03-03 |
| 1982029849 | Nancy E. Phillips | Dentist | 428 E College Ave, Tallahassee, FL 32301-1524 | 2014-02-28 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA.
| 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.