LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (NPI# 1710422670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710422670 |
| Entity Type | Organization |
| Organization Name | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Practice Address |
101 Lecom Way Defuniak Springs FL 32435-6323 |
| Mailing Address |
1858 W Grandview Blvd Erie PA 16509-1025 |
| Practice Telephone | 8509510200 |
| Mailing Telephone | 8148687767 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | RICHARD P OLINGER (VICE PRESIDENT FISCAL AFFAIRS/CFO) |
| Authorized Official Telephone | 8148687767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087296 | Lake Erie College of Osteopathic Medicine | Family Medicine | 2828 S Mccall Rd Ste 21, Englewood, FL 34224-9517 | 2020-03-12 |
| 1518352939 | Lake Erie College of Osteopathic Medicine | Dentist | 2000 W Grandview Blvd, Erie, PA 16509-1029 | 2015-04-02 |
| 1912258872 | Lake Erie College of Osteopathic Medicine | Clinic/Center | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2012-10-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, INC. | 5515 Peach Street, Erie, Pa 16509 |
| Street Address |
101 LECOM WAY |
| City | DEFUNIAK SPRINGS |
| State | FL |
| Zip Code | 32435-6323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114269768 | Pamela Jean Skaff | Dentist | 101 Lecom Way, Defuniak Springs, FL 32459 | 2013-03-21 |
| 1699316851 | Linda Jane Thornton | Dentist | 101 Lecom Way, Defuniak Springs, FL 32435-6323 | 2019-09-30 |
| 1487023255 | Edward Bryce Mandel | Dentist | 101 Lecom Way, Lake Erie College of Osteopathic Medicine, Defuniak Springs, FL 32435 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477098267 | Luz Zondlo | Counselor | 3686 Us Highway 331s, Chautauqua Offices of Psychotherapy & Evaluation, Defuniak Springs, FL 32435 | 2017-01-03 |
| 1427445477 | Jacob Urda | Family Medicine | 1045 Hwy 331 South Suite D & E, Defuniak Springs, FL 32435 | 2015-04-16 |
| 1982728929 | Stone Surgery Clinic | Surgery | 962 Us 331 South, Defuniak Springs, FL 32435 | 2007-03-16 |
| 1003999756 | Charles Gordon Stevenson IIi | Optometrist | 770 Hwy 331 South, Suite 1, Defuniak Springs, FL 32435 | 2006-10-23 |
| 1609971910 | Solomon Reodica | Surgery | 4415 Highway 331 Soutn, Defuniak Springs, FL 32435 | 2006-09-13 |
| 1396857223 | Pamela Kay Stuckey | Social Worker | 3686 Us Hwy 331 S, Cope Center Inc, Defuniak Springs, FL 32435 | 2006-08-31 |
| 1144332065 | Michele Anne Gilmore-rule | Social Worker | 3686 Us Hwy 331 South, Cope Center Inc, De Funiak Springs, FL 32435 | 2006-08-31 |
| 1205857513 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1030 Us Highway 331 South, Suite G, Defuniak Springs, FL 32435 | 2006-07-21 |
| 1912932153 | George Lester Mueller | Surgery | 2800 S Seacrest, Suite 200, Boynton Beach, FL 32435 | 2006-07-12 |
| 1679525463 | Timothy W Walker | Emergency Medicine | 4413 Us Hwy 331 South, Defuniak Springs, FL 32435 | 2006-05-17 |
| Find all providers in zip 32435 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | DEFUNIAK SPRINGS |
| Zip Code | 32435 |
Please comment or provide details below to improve the information on LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE.
| 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.