MARK T DAMERAU (NPI# 1871059907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871059907 |
| Entity Type | Organization |
| Organization Name | MARK T DAMERAU |
| Practice Address |
400 Village Square Xing Ste 1 Palm Beach Gardens FL 33410-3220 |
| Practice Telephone | 5616228988 |
| Mailing Telephone | 5616228988 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | MARK T DAMERAU (OWNER) |
| Authorized Official Telephone | 5616228988 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
400 VILLAGE SQUARE XING STE 1 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| 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 |
|---|---|---|---|---|
| 1275000879 | Dentists of Palm Beach Gardens, Pa | Dentist | 5380 Donald Ross, Rd., Suite 100, Palm Beach Gardens, FL 33418 | 2018-11-01 |
| 1275072159 | Joseph R Depalo | Dentist | 200 Village Square Xing Ste 101, Palm Beach Gardens, FL 33410-4411 | 2017-02-13 |
| 1548631229 | Poorvi Gandhi | Dentist | 9810 Highway A1a Alternate, Promenade Plaza Suite #106, Palm Beach Gardens, FL 33410 | 2015-10-07 |
| 1124407762 | Joaquin Camejo Iv | Dentist | 11682 Us Highway 1 Ste 60b, Palm Beach Gardens, FL 33408-3035 | 2015-05-28 |
| 1447649470 | James Gustav Vandenberghe | Dentist | 5035 Magnolia Bay Cir, Palm Beach Gardens, FL 33418-6732 | 2015-01-14 |
| 1134530348 | Sharon L Gilbert | Dentist | 11701 Lake Victoria Gardens, Suite 2201, Palm Beach Gardens, FL 33410 | 2014-05-12 |
| 1700216769 | Patrick Leconte | Dentist | 2000 Pga Blvd, Ste 3120, Palm Beach Gardens, FL 33408-2722 | 2013-11-12 |
| 1083954036 | Keith Adams Dewindt | Dentist | 2700 P G A Blvd, Suite 202, Palm Beach Gardens, FL 33410-2958 | 2013-02-27 |
| 1467715706 | Anna Gombar | Dentist | 9121 N Military Trl Ste 209, Palm Beach Gardens, FL 33410-5988 | 2012-06-21 |
| 1659631307 | Mark B Gilbert | Dentist | 11701 Lake Victoria Gardens Ave, Suite 2201, Palm Beach Gardens, FL 33410-2706 | 2012-05-29 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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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.