JOHN S BAZOS,D.M.D.,P.A. (NPI# 1720009848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720009848 |
| Entity Type | Organization |
| Organization Name | JOHN S BAZOS,D.M.D.,P.A. |
| Practice Address |
9156 Wiles Rd Coral Springs FL 33067-1999 |
| Practice Telephone | 9542552787 |
| Practice Fax Number | 9542558307 |
| Mailing Telephone | 9542552787 |
| Mailing Fax Number | 9542558307 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-08-27 |
| Authorized Official Name | DR. JOHN BAZOS (PRESIDENT) |
| Authorized Official Telephone | 9542552787 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS 12263 | FL | Dental Providers |
| Street Address |
9156 WILES RD |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33067-1999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010652 | Cl Dds 2 Pa | Dentist | 9156 Wiles Rd, Coral Springs, FL 33067-1999 | 2020-07-19 |
| 1861416976 | John Bazos | Dentist | 9156 Wiles Rd, Coral Springs, FL 33067-1999 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487822 | Amy Caplan Demner | Counselor | 5571 University Drive, Suite 101, Coral Springs, FL 33067 | 2019-10-06 |
| 1548825508 | Stacie Boyar | Counselor | 5941 N University Drive, Coral Springs, FL 33067 | 2019-05-06 |
| 1356818587 | National Vision Inc | Technician/Technologist | 6357 West Sample Road, Coral Springs, FL 33067 | 2018-10-25 |
| 1316423544 | R & S Dme Services, LLC | Durable Medical Equipment & Medical Supplies | 7551 Wiles Road, 103, Coral Springs, FL 33067 | 2018-07-11 |
| 1740787068 | Cleveland Clinic Florida (a Nonprofit Corporation) | Clinic/Center | 5701 North University Drive, Coral Springs, FL 33067 | 2018-04-12 |
| 1922500966 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5280 West Sample Road, Suite 203, Coral Springs, FL 33067 | 2018-03-06 |
| 1518481829 | Alissa Diaz | Pharmacist | 8360 Nw 51st Ct, Coral Springs, FL 33067 | 2017-07-28 |
| 1396267100 | Coral Springs Modern Dentistry, Pa | Dentist | 5810 Wiles Rd, Coral Springs, FL 33067 | 2017-07-13 |
| 1528595766 | Farahnaz Abdoly | Optometrist | 6357 W Sample Rd, Coral Springs, FL 33067 | 2017-05-18 |
| 1164894903 | Mar Christian Amoroso Panambo | Physical Therapist | 5900 West Sample Rd, 304, Coral Springs, FL 33067 | 2015-10-20 |
| Find all providers in zip 33067 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902216153 | James Bennett Jr. | Dentist | 10188 Nw 31st St, Coral Springs, FL 33065-3913 | 2014-04-28 |
| 1932487725 | Aline Morin | Dentist | 7663 W Sample Rd, Coral Springs, FL 33065-4718 | 2011-07-27 |
| 1023304391 | Aurelio Antonio Bula | Dentist | 5850 Coral Ridge Dr Ste 101b, Coral Springs, FL 33076 | 2011-06-24 |
| 1235279050 | Frederic G Kirsch | Dentist | 1881 N University Dr Ste 201, Coral Springs, FL 33071-6095 | 2007-02-08 |
| 1073680161 | South Florida Dentistry for Children, P.a. | Dentist | 10188 Nw 31st Street, Coral Springs, FL 33065 | 2006-11-30 |
| 1235218686 | Maria Portilla | Dentist | 8150 Royal Palm Blvd Ste 104, Coral Springs, FL 33065-5704 | 2006-11-06 |
| 1790708865 | Enrique Acosta | Dentist | 8351 W Atlantic Blvd, Coral Springs, FL 33071-7454 | 2006-07-26 |
| 1962010652 | Cl Dds 2 Pa | Dentist | 9156 Wiles Rd, Coral Springs, FL 33067-1999 | 2020-07-19 |
| 1134784267 | Mighty Children's Dentistry | Dentist | 5850 Coral Ridge Dr Ste 101b, Coral Springs, FL 33076-3379 | 2019-05-03 |
| 1073995395 | Main Street Children's Dentistry and Orthodontics of Coral Springs, Pl | Dentist | 7663 W Sample Rd, Coral Springs, FL 33065-4718 | 2015-06-23 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33067 |
Please comment or provide details below to improve the information on JOHN S BAZOS,D.M.D.,P.A..
| 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.