COMMUNITY DENTAL SERVICES (NPI# 1750656716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750656716 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DENTAL SERVICES |
| Practice Address |
4010 W State St Tampa FL 33609-1264 |
| Practice Telephone | 8137937032 |
| Practice Fax Number | 8134411986 |
| Mailing Telephone | 8137937032 |
| Mailing Fax Number | 8134411986 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | EDITH KAVOUKLIS (PRESIDENT) |
| Authorized Official Telephone | 8137937032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN10929 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730414954 | Community Dental Services | Dentist | 12171 Central Ave, Chino, CA 91710-2421 | 2009-10-06 |
| 1144379785 | Community Dental Services | Dentist | 2 Macarthur Place, Santa Ana, CA 92707 | 2007-01-10 |
| 1326112558 | Community Dental Services | Dentist | 12125 Day St, Bldg N Suite 211, Moreno Valley, CA 92557-6702 | 2006-11-20 |
| 1356415582 | Community Dental Services | Dentist | 9130 Alcosta Blvd, San Ramon, CA 94583-3849 | 2006-11-20 |
| 1699849851 | Community Dental Services | Dentist | 10331 Sepulveda Blvd, Mission Hills, CA 91345-2421 | 2006-11-20 |
| 1013080712 | Community Dental Services | Dentist | Building 1333, Area 13, Camp Pendleton, CA 92505 | 2006-11-17 |
| 1386716082 | Community Dental Services | Dentist | 36416 Fremont Blvd, Fremont, CA 94536-7436 | 2006-11-15 |
| 1699847319 | Community Dental Services | Dentist | 520 N El Dorado St, Stockton, CA 95202-1906 | 2006-11-15 |
| 1164594768 | Community Dental Services | Dentist | 40620 Winchester Rd, Suite B, Temecula, CA 92591-5504 | 2006-11-15 |
| 1407928195 | Community Dental Services | Dentist | 22421 Hesperian Blvd, Hayward, CA 94541-7010 | 2006-11-15 |
| Street Address |
4010 W STATE ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295909802 | Alfred J Tennant | Dentist | 4010 W State St, Tampa, FL 33609-1264 | 2008-04-15 |
| 1134754005 | Dr Nick's White & Healthy, Inc | Clinic/Center | 4010 W State St, Tampa, FL 33609 | 2020-03-11 |
| 1700399433 | Edith Lorraine Kavouklis | Registered Nurse | 4010 W State St, Tampa, FL 33609-1264 | 2017-11-16 |
| 1851720924 | Argus Dental and Vision, Inc. | Exclusive Provider Organization | 4010 W State St, Tampa, FL 33609-1264 | 2013-11-08 |
| 1568768489 | Nicholas Michael Kavouklis | Dentist | 4010 W State St, Tampa, FL 33609-1264 | 2011-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079491 | Matthew Devivo | Dentist | 112 N 12th St Unit 2115, Tampa, FL 33602-3762 | 2020-06-25 |
| 1760034144 | Cody Alan Neill | Dentist | 14936 N Florida Ave Ste 101, Tampa, FL 33613-1641 | 2019-07-15 |
| 1457903866 | Sanket Ashvinbhai Rathod | Dentist | 2560 Brown Noddy Ln Apt 406, Tampa, FL 33619-4324 | 2019-07-15 |
| 1609432400 | Virginia Mckenzie Melmed | Dentist | 120 Barbados Ave, Tampa, FL 33606-3511 | 2019-05-16 |
| 1932682846 | Ferrara Dental Pllc | Dentist | 201 East Kennedy Blvd, Suite 1425, Tampa, FL 33602 | 2018-09-07 |
| 1275014839 | Raouf Morcos | Dentist | 2605 W Swann Ave Ste 200, Tampa, FL 33609-4039 | 2018-08-22 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1548753825 | Melissa Ann Jones | Dentist | 3680 W Gandy Blvd, Tampa, FL 33611-2608 | 2018-06-11 |
| 1326599168 | Andrew Blake Brattain | Dentist | 13022 Race Track Rd, Ste 101, Tampa, FL 33626-1302 | 2016-10-17 |
| 1568910990 | Usman Zafar | Dentist | 2519 Cedar Cypress Ct Unit 202, Tampa, FL 33618-3482 | 2016-09-14 |
| Find all providers in TAMPA | ||||
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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.