FAMILY DENISTRY OF DAYTONA BEACH, LLC (NPI# 1871803817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871803817 |
Entity Type | Organization |
Organization Name | FAMILY DENISTRY OF DAYTONA BEACH, LLC |
Practice Address |
244 N Frederick Ave Daytona Beach FL 32114-3408 |
Practice Telephone | 3862550238 |
Practice Fax Number | 3862555566 |
Mailing Telephone | 3862550238 |
Mailing Fax Number | 3862555566 |
Enumeration Date | 2010-10-08 |
Last Update Date | 2010-10-08 |
Authorized Official Name | ROBBIN J QUARTERMAN (DENTIST/OWNER) |
Authorized Official Telephone | 3862551799 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN9896 | FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 077539896 | 05 |
Street Address |
244 N FREDERICK AVE |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32114-3408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962539197 | Robbin J Quarterman | Dentist | 244 N Frederick Ave, Daytona Beach, FL 32114-3408 | 2007-02-27 |
1780707117 | Karen Joya Gulley Perkins | Dentist | 244 N Frederick Ave, Daytona Beach, FL 32114-3408 | 2007-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
Find all providers in zip 32114 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
1699861336 | Indigo Dental Inc | Clinic/Center | 139 Executive Cir, Suite 101, Daytona Beach, FL 32114-1198 | 2006-10-04 |
1386658284 | East Coast Endodontics | Clinic/Center | 912 S Ridgewood Ave, Suite C, Daytona Beach, FL 32114-5349 | 2006-07-28 |
1548673742 | Silva Dental Pa | Clinic/Center | 1667 N Clyde Morris Blvd, Suite 1, Daytona Beach, FL 32117-5500 | 2014-06-04 |
1063792927 | Sandeep V. Patel, Dds, Pa | Clinic/Center | 201 W. Isb, Daytona Beach, FL 32114 | 2011-08-24 |
1487832341 | Bruce C. Benedictson, D.d.s. Pa | Clinic/Center | 222 Oakridge Blvd, Suite A, Daytona Beach, FL 32118-4030 | 2008-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699376525 | Hoffmann Holdings Inc | Clinic/Center | 515 Semoran Blvd Ste 1000, Casselberry, FL 32707-5341 | 2020-11-06 |
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 |
Find all providers with the same taxonomy |
City | DAYTONA BEACH |
Zip Code | 32114 |
Please comment or provide details below to improve the information on FAMILY DENISTRY OF DAYTONA BEACH, LLC.
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.