DR. JACKLYN K MITCHELL (NPI# 1891224986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891224986 |
| Entity Type | Individual |
| Full Name | DR. JACKLYN K MITCHELL |
| Credential | DMD, MPH |
| Practice Address |
1395 Center Dr # D1-17 Gainesville FL 32610-5720 |
| Mailing Address |
1395 Center Dr # D1-17 Gainesville FL 32610-3006 |
| Practice Telephone | 3522735430 |
| Mailing Telephone | 3527896990 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN22698 | FL | Dental Providers |
| Street Address |
1395 CENTER DR # D1-17 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932554342 | Jacqueline Marie Fetner | Dentist | 1395 Center Dr # D1-17, Gainesville, FL 32610-1201 | 2016-05-04 |
| 1558987404 | Ricardo Obando | Dentist | 1395 Center Dr # D1-17, Gainesville, FL 32610-3006 | 2020-06-17 |
| 1932748977 | Mahmoud Mona | Dentist | 1395 Center Dr # D1-17, Gainesville, FL 32610-6458 | 2019-12-21 |
| 1891354056 | Shahd Nawari | Dentist | 1395 Center Dr # D1-17, Gainesville, FL 32610-7155 | 2019-06-11 |
| 1750877643 | Jeffrey Paul Westra | Dentist | 1395 Center Dr # D1-17, Gainesville, FL 32610-3006 | 2018-07-03 |
| 1730675836 | Hongan Mimi Nguyen | Student in an Organized Health Care Education/Training Program | 1395 Center Dr # D1-17, Gainesville, FL 32610-3006 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| 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 |
|---|---|---|---|---|
| 1437761871 | Amanda Ghaffari | Dentist | 8992 Sw 67th Pl, Gainesville, FL 32608-9222 | 2020-08-18 |
| 1326665878 | Ryan Richard Clance | Dentist | 1395 Center Dr # D1-40, Gainesville, FL 32610-3006 | 2020-07-01 |
| 1033735386 | Adam Hadsell | Dentist | 1395 Center Dr # D-17, Gainesville, FL 32610-3006 | 2020-06-23 |
| 1174147292 | Carol Gilbert-orrego | Dentist | 1844 Nw 42nd Ave, Gainesville, FL 32605-1935 | 2020-06-04 |
| 1881227379 | Roaa Sabri Alshafei | Dentist | 1395 Center Dr Ste D2-27, Gainesville, FL 32610-3006 | 2020-02-13 |
| 1679106116 | Yasser Merdad | Dentist | 425 W University Ave Apt 4412, Gainesville, FL 32601-5207 | 2020-02-12 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104385541 | Andreina Dulanto | Dentist | 1395 Center Dr Rm D10-33, Gainesville, FL 32610-3006 | 2019-03-15 |
| 1578027314 | Stephen H Schwartz | Dentist | 4305 Granison Chase, Gainesville, GA 30504-9286 | 2019-01-25 |
| 1366916744 | Pbt Dental LLC | Dentist | 590 S Enota Dr Ne Ste 2, Gainesville, GA 30501-2433 | 2019-01-18 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
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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.