DR. JOHN LOUIS DIETRICH (NPI# 1780899674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780899674 |
| Entity Type | Individual |
| Full Name | DR. JOHN LOUIS DIETRICH |
| Credential | D.D.S. |
| Practice Address |
17178 Toledo Blade Blvd Port Charlotte FL 33954-2626 |
| Practice Telephone | 9416257877 |
| Practice Fax Number | 9416254349 |
| Mailing Telephone | 9416257877 |
| Mailing Fax Number | 9416254349 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN9422 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477607307 | John B. Dietrich II | Chiropractor | 1105 W Grand Ave, Wisconsin Rapids, WI 54495-3349 | 2007-01-22 |
| 1235413071 | John Warner Dietrich | Nurse Practitioner | 330 Ne Barry Rd, Kansas City, MO 64155-2724 | 2011-09-28 |
| 1538300017 | John Kaiser Dietrich | Counselor | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2009-03-13 |
| 1013008275 | John W Dietrich | Orthopaedic Surgery | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 2006-09-27 |
| 1861409609 | John Gilbert Dietrich | Pathology | 701 1st St, Springfield, IL 62781 | 2006-08-02 |
| 1417927807 | John E Dietrich | Internal Medicine | 1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405 | 2006-01-26 |
| Street Address |
17178 TOLEDO BLADE BLVD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33954-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952473738 | Sean R Bates | Dentist | 17178 Toledo Blade Blvd, Port Charlotte, FL 33954-2626 | 2006-11-15 |
| 1326672023 | Dream Team Dentistry & Associates, Pllc | Dentist | 17178 Toledo Blade Blvd, Port Charlotte, FL 33954-2626 | 2020-03-03 |
| 1003185240 | Dietrich Dental Services Pa | Dentist | 17178 Toledo Blade Blvd, Port Charlotte, FL 33954-2626 | 2011-12-16 |
| 1144435090 | Theodora Kalonaros Dietrich | Dentist | 17178 Toledo Blade Blvd, Port Charlotte, FL 33954-2626 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043740665 | Criselda Veronica Romero | Home Health Aide | 24009 Madaca Lane, Apt 104, Port Charlotte, FL 33954 | 2017-06-15 |
| 1942469234 | Johanny Vizcarrondo Colon | Physical Therapist | 24011 Madaca Lane # 108, Port Charlotte, FL 33954 | 2008-06-03 |
| 1467638163 | Qrs LLC | Clinic/Center | 17218 Toledo Blade Blvd., Unit 7, Port Charlotte, FL 33954 | 2008-01-14 |
| 1023199155 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 18500 Veterans Boulevard, Unit 4, Port Charlotte, FL 33954 | 2006-10-17 |
| 1174577290 | Karen Kalbfeld | Nurse Anesthetist, Certified Registered | 327 Kindred Blvd, Port Charlotte, FL 33954 | 2006-05-22 |
| 1518425081 | Annette Simmons | Custodial Care Facility | 1292 Dorchester St, Port Charlotte, FL 33954 | 2019-03-04 |
| 1942319744 | Lifeline Health Care of Southwest Florida, Inc. | Home Health | 630a Woodbury Dr, Port Charlotte, FL 33954-1000 | 2006-08-29 |
| 1154617553 | Anthony Richard La Forgia | Counselor | 630a Woodbury Dr, Port Charlotte, FL 33954-1000 | 2011-06-23 |
| 1780227199 | Sergio Pedro Castro | Behavioral Analyst | 18245 Paulson Dr Ste 113, Port Charlotte, FL 33954-1019 | 2019-10-18 |
| 1295201846 | Grissel Alfonso Gonzalez | Behavior Technician | 18245 Paulson Dr Ste 130, Port Charlotte, FL 33954-1019 | 2018-10-22 |
| Find all providers in zip 33954 | ||||
| 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 |
|---|---|---|---|---|
| 1497267942 | Family Dentistry of Port Charlotte | Dentist | 2300 Tamiami Trl # 13&14, Port Charlotte, FL 33952-3900 | 2017-10-24 |
| 1750784955 | Gregory James Brandau | Dentist | 2762 Tamiami Trl, Suite B, Port Charlotte, FL 33952-5128 | 2014-10-01 |
| 1568892792 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 1931 Tamiami Trl Ste 106, Port Charlotte, FL 33948-2181 | 2013-11-26 |
| 1871835868 | Randal C Robertson | Dentist | 21202 Olean Blvd Ste E2, Port Charlotte, FL 33952-6723 | 2013-03-18 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1477736643 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1940 Tamiami Trail, Suite 102, Port Charlotte, FL 33948-2105 | 2007-12-11 |
| 1407050909 | Manuel A Pulido | Dentist | 4161 Tamiami Trail, Suite 604, Port Charlotte, FL 33948 | 2007-06-11 |
| 1770704264 | Donna L. Smolinski, D.m.d., P.a. | Dentist | 970 Kings Hwy Unit 3, Port Charlotte, FL 33980-4213 | 2007-05-01 |
| 1902024631 | Casimer James Ciborowski | Dentist | 941 Tamiami Trl, Suite F, Port Charlotte, FL 33953-3121 | 2007-04-20 |
| 1497970800 | Julia B. Pizarro | Dentist | 2762b Tamiami Trl, Port Charlotte, FL 33952-5128 | 2007-04-13 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33954 |
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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.