JAMES LEO KRISTOBAK (NPI# 1891800470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891800470 |
| Entity Type | Individual |
| Full Name | JAMES LEO KRISTOBAK |
| Credential | DMD |
| Practice Address |
129 N Franklin St Titusville PA 16354 |
| Mailing Address |
Po Box 253 Titusville PA 16354 |
| Practice Telephone | 8148276311 |
| Practice Fax Number | 8148276311 |
| Mailing Telephone | 8148276311 |
| Mailing Fax Number | 8148276311 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS021790L | PA | Dental Providers |
| Street Address |
129 N FRANKLIN ST |
| City | TITUSVILLE |
| State | PA |
| Zip Code | 16354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073914883 | Brittany Ann Masterson | Physician Assistant | 150 West Central Avenue, Titusville, PA 16354 | 2014-09-11 |
| 1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
| 1871716621 | Wayne A Martin | Dentist | 202 Union Street, Ste 3, Titusville, PA 16354 | 2007-04-10 |
| 1952469660 | Shelly L Proper | Counselor | 115 West Spring Street, Titusville, PA 16354 | 2006-12-05 |
| 1124190830 | Ashleigh K English | Counselor | 115 West Spring St, Titusville, PA 16354 | 2006-11-15 |
| 1104921428 | Titusville Area Hospital | Medicare Defined Swing Bed Unit | 406 West Oak Street, Titusville, PA 16354 | 2006-09-13 |
| 1891899332 | Titusville Area Hospital | General Acute Care Hospital | 406 West Oak St., Titusville, PA 16354 | 2006-09-12 |
| 1770531295 | Kathleen D Etzel | Radiology | 406 W Oak Street, Titusville, PA 16354 | 2006-05-05 |
| 1235104977 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | Drake Mall, Titusville, PA 16354 | 2006-02-17 |
| 1932173366 | William Robert Sonnenberg | Family Medicine | 119 East Mechanic Street, Titusville, PA 16354 | 2006-02-14 |
| Find all providers in zip 16354 | ||||
| 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 |
|---|---|---|---|---|
| 1518319250 | Omid Khezri | Dentist | 3135 Columbia Blvd Ste 101, Titusville, FL 32780-7833 | 2016-07-06 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1184037277 | Tracy Lee Lopez | Dentist | 3135 Columbia Blvd, Suite 101, Titusville, FL 32803 | 2014-06-05 |
| 1427330489 | Siddhi Anitha Prasanna Pa | Dentist | 815 Cheney Hwy, Titusville, FL 32780-6960 | 2011-09-15 |
| 1497082796 | Country Club Dental Care | Dentist | 214 Country Club Dr, Titusville, FL 32780-8605 | 2009-11-06 |
| 1760645949 | Amal Hamdi | Dentist | 696 Country Club Dr, Titusville, FL 32780-4977 | 2008-07-08 |
| 1073720025 | John M Stanton | Dentist | 815 Cheney Hwy Rt 50, Imperial Plaza, Titusville, LA 33278 | 2007-05-17 |
| 1023134848 | Gary L Torres | Dentist | 2185 Cheney Hwy, Suite B, Titusville, FL 32780-6700 | 2007-03-22 |
| 1881724540 | Rudolph Ermete De Palma | Dentist | Royal Oaks Nursing Center,2225 Konx Mcrae Drive, Titusville, FL 32780 | 2007-03-06 |
| 1043355035 | William Ocell Shumpert Jr. | Dentist | 2885 Player Ct, Titusville, FL 32780-4867 | 2007-02-20 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 16354 |
Please comment or provide details below to improve the information on JAMES LEO KRISTOBAK.
| 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.