PALM BEACH GARDENS DENTAL ASSOCIATES (NPI# 1730226390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730226390 |
| Entity Type | Organization |
| Organization Name | PALM BEACH GARDENS DENTAL ASSOCIATES |
| Other Organization Name | RAY A. MAIWURM DDS |
| Practice Address |
4362 Northlake Blvd Ste 114 Bldg 2 Palm Beach Gardens FL 33410-6275 |
| Mailing Address |
8106 Damascus Dr Palm Beach Gardens FL 33418-6006 |
| Practice Telephone | 5616263424 |
| Mailing Telephone | 5616229290 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS SUSAN BENNETT (OFFICE MGR) |
| Authorized Official Telephone | 5616263424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN6220 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Ray A. Maiwurm DDS | Former Legal Business Name - Organization |
| Street Address |
4362 NORTHLAKE BLVD STE 114 BLDG 2 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-6275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035744 | Allen Sergio Mccormick | Social Worker | 4362 Northlake Blvd, Suite 202, Palm Beach Gardens, FL 33410-6275 | 2005-06-30 |
| 1992164339 | J M Atwater, Phd | Psychologist | 4362 Northlake Blvd, Suite 108, Palm Beach Gardens, FL 33410-6275 | 2016-02-13 |
| 1740645126 | Bhs Physician Services of Florida, LLC | Internal Medicine | 4362 Northlake Blvd, Suite 101, Palm Beach Gardens, FL 33410-6275 | 2015-12-29 |
| 1407287048 | Bhs Laboratory Services of Florida | Substance Abuse Rehabilitation Facility | 4362 Northlake Blvd, Suite 111, Palm Beach Gardens, FL 33410-6275 | 2013-12-09 |
| 1073950903 | Ashley Bonvento | Physical Therapist | 4362 Northlake Blvd, Suite 105, Palm Beach Gardens, FL 33410-6275 | 2013-06-01 |
| 1215225016 | Phbh LLC | Substance Abuse Rehabilitation Facility | 4362 Northlake Blvd, Suite 109, Palm Beach Gardens, FL 33410-6275 | 2011-07-13 |
| 1821317983 | Nathan Jackson Oliver | Counselor | 4362 Northlake Blvd, Suite 108, Palm Beach Gardens, FL 33410 | 2010-05-27 |
| 1568611317 | A Plus Home Health Care, LLC | Nursing Care | 4362 Northlake Blvd, Suite 203, Palm Beach Gardens, FL 33410-6275 | 2008-09-17 |
| 1629277538 | Mark H Barnett | Psychologist | 4362 Northlake Blvd, Suite 200, Palm Beach Gardens, FL 33410-6275 | 2007-07-12 |
| 1801094008 | Mark H. Barnett, Ph.d., P.a. | Psychologist | 4362 Northlake Blvd, Suite 200, Palm Beach Gardens, FL 33410-6275 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| 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 |
|---|---|---|---|---|
| 1326609371 | Cynthia Habashy | Dentist | 4388 Golfers Cir W, Palm Beach Gardens, FL 33410-4632 | 2019-06-20 |
| 1033778436 | Tina Akhavan | Dentist | 3333 Northlake Blvd Ste 6, Palm Beach Gardens, FL 33403-1717 | 2019-06-10 |
| 1962906339 | Bmb Dental Management | Dentist | 11701 Lake Victoria Gardens Ave Ste 2201, Palm Beach Gardens, FL 33410-2764 | 2018-03-21 |
| 1699294132 | Greenlake Management, LLC | Dentist | 10625 N Military Trl Ste 201, Palm Beach Gardens, FL 33410-6548 | 2017-09-15 |
| 1144778028 | Griffee Dental I Pa | Dentist | 3333 Northlake Blvd, Ste 6, Palm Beach Gardens, FL 33403 | 2016-09-20 |
| 1912315284 | Andrew Rudnick Dmd Pa | Dentist | 4274 Northlake Blvd, Palm Beach Gardens, FL 33410-6224 | 2014-07-30 |
| 1649683335 | Eric Daniel Stevens | Dentist | 2700 Pga Blvd Ste 202, Palm Beach Gardens, FL 33410-2958 | 2014-06-10 |
| 1164639977 | The Center for Cosmetic Dentistry | Dentist | 2000 Pga Blvd Ste 3120, Palm Beach Gardens, FL 33408-2718 | 2007-05-17 |
| 1457571580 | Florian Braich | Dentist | 9123 N Military Trl Ste 200, Palm Beach Gardens, FL 33410-5968 | 2007-04-30 |
| 1902025349 | Christopher Walter Ricker | Dentist | 2560 Rca Blvd Ste 110, Palm Beach Gardens, FL 33410-3336 | 2007-04-24 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
Please comment or provide details below to improve the information on PALM BEACH GARDENS DENTAL ASSOCIATES.
| 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.