KUSH DENTAL LLC (NPI# 1811388804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811388804 |
| Entity Type | Organization |
| Organization Name | KUSH DENTAL LLC |
| Practice Address |
1012 State Road 436 Casselberry FL 32707-5722 |
| Practice Telephone | 4076367602 |
| Practice Fax Number | 4076367604 |
| Mailing Telephone | 4076367602 |
| Mailing Fax Number | 4076367604 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Authorized Official Name | MARK FIGARO (DENTIST) |
| Authorized Official Telephone | 4076367602 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
606214 | FL | Ambulatory Health Care Facilities |
| Street Address |
1012 STATE ROAD 436 |
| City | CASSELBERRY |
| State | FL |
| Zip Code | 32707-5722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609060250 | Timothy Brent Chatterley | Dentist | 1012 State Road 436, Casselberry, FL 32707-5722 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905024 | Kirsten Griffin | Durable Medical Equipment & Medical Supplies | 5021 S Us Highway 17/92, Casselberry, FL 32707 | 2018-06-13 |
| 1255878716 | Breaking Change Services | In Home Supportive Care | 260 S Cypress Way, Cassleberry, FL 32707 | 2017-01-23 |
| 1891240578 | Faye Gabrielle Burkett | Behavioral Analyst | 1140 Exceller Ct Apt 102, Casselberry, FL 32707 | 2016-08-23 |
| 1033576095 | Jamerson Lovett | Home Health Aide | 1154 Millrun Circle, Apopka, FL 32707 | 2016-01-21 |
| 1629460647 | Abby Lewis | Speech-Language Pathologist | 2440 Lake Vista Ct Apt 308, Casselberry, FL 32707 | 2015-02-27 |
| 1942625439 | Stephanie Kern | Chiropractor | 853 Sr 436, Suite 1001, Casselberry, FL 32707 | 2014-02-20 |
| 1548681703 | David J. Jenkins, D.c.,p.a. | Chiropractor | 897 East Semoran Blvd, Casselberry, FL 32707 | 2013-12-13 |
| 1871879338 | The Arbor School of Central Florida | Specialist | 3925 Red Bug Lake Road, Casselberry, FL 32707 | 2011-10-28 |
| 1982989307 | Ability Rehab | Public Health or Welfare | 520 Reflection Circle, Apt.205, Casselberry, FL 32707 | 2011-10-17 |
| 1861790149 | The Outsource Group | Case Management | 950 South Winter Park Drive, Suite 120, Casselberry, FL 32707 | 2011-03-10 |
| Find all providers in zip 32707 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376525 | Hoffmann Holdings Inc | Clinic/Center | 515 Semoran Blvd Ste 1000, Casselberry, FL 32707-5341 | 2020-11-06 |
| 1134429319 | Ali Behzadi D.m.d P.a | Clinic/Center | 945 State Road 436, Casselberry, FL 32707-5662 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598238 | Dental Plus Management, LLC | Clinic/Center | 16 Ne 2nd Ave, Deerfield Beach, FL 33441-3504 | 2020-11-03 |
| 1750981452 | Smillie Dental Pllc | Clinic/Center | 5537 S Williamson Blvd Ste 675, Port Orange, FL 32128-8314 | 2020-10-30 |
| 1609476027 | R & R Dentistry Pa | Clinic/Center | 6290 Linton Blvd Unit 202, Delray Beach, FL 33484-6409 | 2020-10-26 |
| 1295334126 | Friedman Dental Group Miami, Pllc | Clinic/Center | 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 | 2020-10-21 |
| 1376142547 | Trm Global Enterprise,llc. | Clinic/Center | 145 Crawl Key Ct, Deland, FL 32720-3951 | 2020-10-20 |
| 1568060762 | Bawany LLC | Clinic/Center | 15130 Springview St, Tampa, FL 33624-2332 | 2020-10-12 |
| 1992312730 | Rocent Dental Care, Inc. | Clinic/Center | 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 | 2020-09-25 |
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1952916306 | Simmons Services LLC | Clinic/Center | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 |
| 1962017582 | 1 Step Dental | Clinic/Center | 7025 Beracasa Way Ste 203, Boca Raton, FL 33433-3444 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | CASSELBERRY |
| Zip Code | 32707 |
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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.