CRISALIDA ULLOA (NPI# 1881255677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881255677 |
| Entity Type | Individual |
| Full Name | CRISALIDA ULLOA |
| Credential | DMD |
| Practice Address |
2301 Old Canoe Creek Rd Saint Cloud FL 34772-7706 |
| Mailing Address |
517 Neptune Bay Cir Unit 2 Saint Cloud FL 34769-7031 |
| Practice Telephone | 3218054890 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN24134 | FL | Dental Providers |
| Street Address |
2301 OLD CANOE CREEK RD |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34772-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033648373 | Radha Dharmendra Patel | Dentist | 2301 Old Canoe Creek Rd, Saint Cloud, FL 34772-7706 | 2017-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780110940 | Caitlin Smith | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2017-05-10 |
| 1073069787 | Yolimar Vazquez | Specialist/Technologist | 2332 Seven Oaks Dr, Saint Cloud, FL 34772 | 2016-09-01 |
| 1881041903 | Diana Barreto | Counselor | 4205 Cracker Ct, St.cloud, FL 34772 | 2016-05-18 |
| 1356713267 | Gilbert Saenz | Counselor | 4622 Mildred Bass Road, St. Cloud, FL 34772 | 2015-10-30 |
| 1841532025 | Origin Hospitality LLC | Assisted Living Facility | 2910 Old Canoe Creek Rd, Saint Cloud, FL 34772 | 2013-03-26 |
| 1912264037 | Mario Gregorio Rodriguez | Skilled Nursing Facility | 3056 Sandstone Circle, St Cloud, FL 34772 | 2012-04-13 |
| 1356479182 | Ramon Roman Jr. | Counselor | 3640 Doe Run Dr., St. Cloud, FL 34772 | 2007-03-01 |
| 1619451085 | Sunny Path Therapy | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2018-09-20 |
| 1154807329 | Brunella Denegri | Behavior Technician | 1300 Creekview Ct, Saint Cloud, FL 34772 | 2018-07-11 |
| 1437767464 | Laurie Ann Tacey | Nurse Practitioner | 2526 Pickett Ave, Saint Cloud, FL 34772-0002 | 2020-07-15 |
| Find all providers in zip 34772 | ||||
| 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 |
|---|---|---|---|---|
| 1023678927 | Talita Norberto Sizemore | Dentist | 1519 Jersey Ave, Saint Cloud, FL 34769-4248 | 2019-06-13 |
| 1942868849 | Xandria Johnson | Dentist | 2275 Nolte Rd., Saint Cloud, FL 34772-8763 | 2019-06-05 |
| 1386201093 | Victoria Figueroa | Dentist | 2275 Nolte Rd, Saint Cloud, FL 34772-8763 | 2019-05-29 |
| 1245726785 | Andrew Bezek | Dentist | 1026 4th St Se Ste 200, Saint Cloud, MN 56304-1371 | 2018-07-09 |
| 1104200948 | Funsho Afoluke Akinluyi | Dentist | 4128 2nd St S, Saint Cloud, MN 56301-3704 | 2015-07-10 |
| 1629450234 | Yang Hua | Dentist | 3300 Canoe Creek Rd, Saint Cloud, FL 34772-6511 | 2015-06-19 |
| 1992821706 | St. Cloud Technical College Community Dental Clinic | Dentist | 1540 Northway Dr, Saint Cloud, MN 56303-1240 | 2007-03-22 |
| 1922624279 | Jonathan Wirth | Dentist | 1950 S Narcoossee Rd, Saint Cloud, FL 34771-7204 | 2020-06-23 |
| 1306480686 | Christopher Bruce Heringlake | Dentist | 2305 Minnesota Blvd, Saint Cloud, MN 56304-2424 | 2019-10-30 |
| 1740841428 | Phuong Thuy Le Pham | Dentist | 2860 W Division St Ste 102, Saint Cloud, MN 56301-7330 | 2019-06-24 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34772 |
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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.