DR. ALI Y YAZBACK (NPI# 1851773220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851773220 |
| Entity Type | Individual |
| Full Name | DR. ALI Y YAZBACK |
| Credential | D.M.D, |
| Practice Address |
700 N Hiatus Rd Suite 102 Pembroke Pines FL 33026-5206 |
| Practice Telephone | 9543921635 |
| Mailing Telephone | 9543921635 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN21282 | FL | Dental Providers |
| Street Address |
700 N HIATUS RD SUITE 102 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879618 | David P Morris | Internal Medicine | 700 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026 | 2005-05-23 |
| 1841662541 | Jennifer Garcia | Nurse Practitioner | 700 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5206 | 2015-10-21 |
| 1265834063 | Steven Ma | Neuromusculoskeletal Medicine & OMM | 700 N Hiatus Rd, Suite 209, Pembroke Pines, FL 33026-5206 | 2014-09-23 |
| 1972919132 | Simply Smile Orthodontics of Pembroke Pines, LLC | Dentist | 700 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5206 | 2014-07-09 |
| 1497179725 | Center for Complete Dentistry of Pembroke Pines | Preferred Provider Organization | 700 N Hiatus Rd, Suite 102, Pembroke Pines, FL 33026-5206 | 2014-02-06 |
| 1255775649 | Simply Smile Orthodontics of Pembroke Pines, LLC | Dentist | 700 N Hiatus Rd, Suite 101, Pembroke Pines, FL 33026-5206 | 2013-04-29 |
| 1700130234 | Wilma Joy Williams-blake | Nurse Practitioner | 700 N Hiatus Rd, Pembroke Pines, FL 33026-5206 | 2012-11-06 |
| 1235403312 | Shana-kay Mignott | Physician Assistant | 700 N Hiatus Rd, Pembroke Pines, FL 33026-5206 | 2012-03-06 |
| 1881966786 | Ruchi Kumar-willig | Internal Medicine | 700 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5206 | 2012-02-08 |
| 1568756526 | Florida Institute for Cardiovascular Care Pa | Non-Pharmacy Dispensing Site | 700 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5206 | 2011-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| 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 |
|---|---|---|---|---|
| 1538702816 | Sonya Dee Lewis | Dentist | 10252 Sw 12th St, Pembroke Pines, FL 33025-4701 | 2019-10-19 |
| 1750853446 | Jaime J Casado | Dentist | 12601 Sw 13th St Apt 211, Pembroke Pines, FL 33027-6896 | 2018-12-19 |
| 1972093904 | Dentists of Pines, Pa | Dentist | 10430 Pines Blvd Ste C103, Pembroke Pines, FL 33026-6049 | 2018-05-15 |
| 1669995684 | Roula Yazaji | Dentist | 9840 Sheridan St Apt 307, Pembroke Pines, FL 33024-3062 | 2017-07-21 |
| 1255860706 | Ruben Villarreal | Dentist | 17631 Sw 4th Ct, Pembroke Pines, FL 33029-4016 | 2017-06-08 |
| 1184153587 | Javier Servigna | Dentist | 10620 Washington St, 104, Pembroke Pines, FL 33025 | 2017-06-08 |
| 1134654064 | West Pines Modern Dentistry, Pa | Dentist | 18312 Pines Blvd, Pembroke Pines, FL 33029-1412 | 2017-04-28 |
| 1841721610 | Dental Bliss P.a. | Dentist | 9990 Nw 6th Ct, Bay 16, Pembroke Pines, FL 33024-6157 | 2017-03-23 |
| 1134593296 | Amonem Inc. | Dentist | 9001a Pembroke Rd, Pembroke Pines, FL 33025-1637 | 2015-11-30 |
| 1316329626 | Dania Santana | Dentist | 6720 Pines Blvd, Pembroke Pines, FL 33024 | 2015-06-23 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
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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.