GULF COAST PEDIATRIC DENTISTRY (NPI# 1780106534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780106534 |
Entity Type | Organization |
Organization Name | GULF COAST PEDIATRIC DENTISTRY |
Other Organization Name | GULF COAST PEDIATRIC DENTISTRY AND ORTHODONTICS |
Practice Address |
4427 Rowan Rd New Port Richey FL 34653-6198 |
Mailing Address |
16688 N Dale Mabry Hwy Tampa FL 33618-1400 |
Practice Telephone | 8133852844 |
Practice Fax Number | 8133337323 |
Mailing Telephone | 8133749695 |
Mailing Fax Number | 8133337323 |
Enumeration Date | 2017-07-13 |
Last Update Date | 2018-06-16 |
Authorized Official Name | DR. RONALD YARBROUGH JR. (OWNER) |
Authorized Official Telephone | 8133852844 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
Other Name | Type Code |
---|---|
A Safari Dental | Doing Business As Name - Organization |
A Safari Dental and Orthodontics | Doing Business As Name - Organization |
Gulf Coast Pediatric Dentistry and Orthodontics | Doing Business As Name - Organization |
Yarbrough Orthodontics | Doing Business As Name - Organization |
Street Address |
4427 ROWAN RD |
City | NEW PORT RICHEY |
State | FL |
Zip Code | 34653-6198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881754521 | Frank Carmen Pettinato II | Dentist | 4427 Rowan Rd, New Port Richey, FL 34653-6198 | 2006-12-11 |
1790060796 | A Safari Dental | Dentist | 4427 Rowan Rd, New Port Richey, FL 34653-6198 | 2011-10-21 |
1831316975 | Lexie Lynn Bellows | Dentist | 4427 Rowan Rd, New Port Richey, FL 34653-6198 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669956033 | All Best Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 7114 Congress Street, New Port Richey, FL 34653 | 2018-09-20 |
1851880132 | Select Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 4575 Whitton Way, Unit# 1119, New Port Richey, FL 34653 | 2018-05-02 |
1477050151 | A & B of Pasco, Inc | Non-emergency Medical Transport (VAN) | 6449 Sutters Mill Rd, New Port Richey, FL 34653 | 2018-04-10 |
1841704988 | Kelly R Stryjewski | Nurse Practitioner | 6331 State Rd 54, New Port Richey, FL 34653 | 2017-11-28 |
1568974921 | Life Back, LLC. | Durable Medical Equipment & Medical Supplies | 8018 Old County Road 54, New Port Richey, FL 34653 | 2017-10-25 |
1477002558 | Amy Rebecca Patten | Nurse Practitioner | Gulfside Hospice, 6117 Trouble Creek Road, New Port Richey, FL 34653 | 2016-09-29 |
1972976900 | Steven Cheung | Physical Therapist | 5138 Deer Park Drive, New Port Richey, FL 34653 | 2015-11-13 |
1164804852 | Drew Finnegan | Chiropractor | 7653 Cypress Trace Ct, New Port Richey, FL 34653 | 2015-06-18 |
1699155184 | Chad Exceen | Counselor | 8002 King Helie Blvd., Baycare Behavioral Health, New Port Richey, FL 34653 | 2015-06-01 |
1881025005 | Elm Tree Lodge | Preferred Provider Organization | 6205 Viola Lane, New Port Richey, FL 34653 | 2013-12-13 |
Find all providers in zip 34653 |
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 |
---|---|---|---|---|
1790812865 | Drs. Howell, Whitehead and Associates, Pa | Dentist | 5312 State Road 54, New Port Richey, FL 34652-6013 | 2007-02-27 |
1881754521 | Frank Carmen Pettinato II | Dentist | 4427 Rowan Rd, New Port Richey, FL 34653-6198 | 2006-12-11 |
1790060796 | A Safari Dental | Dentist | 4427 Rowan Rd, New Port Richey, FL 34653-6198 | 2011-10-21 |
1831316975 | Lexie Lynn Bellows | Dentist | 4427 Rowan Rd, New Port Richey, FL 34653-6198 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073113296 | Pediatric Dental Center of Gardens Inc | Dentist | 18244 Nw 27th Ave, Miami Gardens, FL 33056-3501 | 2020-10-27 |
1205446598 | Harp Pediatric Dentistry | Dentist | 31067 Us Highway 19 N, Palm Harbor, FL 34684-4416 | 2020-08-03 |
1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
1710595509 | Bright Smiles Pediatric Dentistry Nassau LLC | Dentist | 960135 Gateway Blvd, Fernandina Beach, FL 32034-9120 | 2020-07-17 |
1578180097 | Juliana Grace Fitzgerald | Dentist | 7505 Grand Lely Dr Bldg 1, Naples, FL 34113-1753 | 2020-06-30 |
1861012569 | Toni-marie Small | Dentist | 12625 76th Rd N, West Palm Beach, FL 33412-2259 | 2020-04-22 |
1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
1114573086 | Kids Dentist LLC | Dentist | 8058 W Mcnab Rd, North Lauderdale, FL 33068-4254 | 2019-08-15 |
1558915157 | Dentistry for Children of Florida, Pllc | Dentist | 3021 Airport Rd N Ste 203, Naples, FL 34105-3077 | 2019-07-31 |
1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
Find all providers with the same taxonomy |
City | NEW PORT RICHEY |
Zip Code | 34653 |
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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.