ALLEN FAMILY DENTISTRY, LLC (NPI# 1902056161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902056161 |
| Entity Type | Organization |
| Organization Name | ALLEN FAMILY DENTISTRY, LLC |
| Other Organization Name | ALLEN DENTAL PRACTICE |
| Practice Address |
138 Country Club Ct Tarpon Springs FL 34689-3704 |
| Practice Telephone | 7279375159 |
| Practice Fax Number | 7279375109 |
| Mailing Telephone | 7279375159 |
| Mailing Fax Number | 7279375109 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | DR. HAYDEN PARK ALLEN (LLC MANAGER) |
| Authorized Official Telephone | 7279375159 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 14250 | FL | Dental Providers |
| N | 122300000X | Dentist | 17222 | FL | Dental Providers |
| Y | 122300000X | Dentist | 5617 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Allen Dental Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184958530 | Allen Family Dentistry, LLC | Dentist | 2675 Brickside Lane, Suite 100, Mt. Pleasant, SC 29466 | 2009-10-01 |
| Street Address |
138 COUNTRY CLUB CT |
| City | TARPON SPRINGS |
| State | FL |
| Zip Code | 34689-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093826729 | Kristine Depner Allen | Dentist | 138 Country Club Ct, Tarpon Springs, FL 34689-3704 | 2006-08-31 |
| 1235269911 | Mark Allen Johnson | Dentist | 138 Country Club Ct, Tarpon Springs, FL 34689 | 2007-03-06 |
| 1164508230 | Hayden Park Allen | Dentist | 138 Country Club Ct, Tarpon Springs, FL 34689-3704 | 2006-10-31 |
| 1760564017 | Dennis Park Allen | Dentist | 138 Country Club Ct, Tarpon Springs, FL 34689-3704 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013408376 | Eleni D Papanou | Behavioral Analyst | 531 Maragos St., Tarpon Springs, FL 34689 | 2018-05-22 |
| 1366932220 | Scott A Earnhardt | Contractor | 1810 S. Pinellas Ave, Suite L, Tarpon Springs, FL 34689 | 2018-05-16 |
| 1104323211 | Withall & Associates Consulting, Inc. | Durable Medical Equipment & Medical Supplies | 1810 S Pinellas Ave Ste G, Tarpon Springs, FL 34689 | 2018-04-06 |
| 1659801553 | Ekaterina Carvajal Debello | Optometrist | 1965 Anclote Vista, Tarpon Springs, FL 34689 | 2017-06-14 |
| 1669921359 | Jennifer Vacco | Specialist | 612 E. Spruce Street, Tarpon Springs, FL 34689 | 2016-09-23 |
| 1497140412 | Jacobson Ma | Dentist | 40545 Us Highway 19 N Ste G, Tarpon Springs, FL 34689 | 2015-04-06 |
| 1326439613 | Joell Whitmer | Pharmacist | 1171 S Pinellas Ave, Tarpon Springs, FL 34689 | 2015-02-09 |
| 1891086351 | Carol J Chamberlain | Registered Nurse | 412 Moonings Cove Drive, Tarpon, FL 34689 | 2011-05-02 |
| 1649593179 | Annalice LLC | Pharmacy | 1992 Alt Us Highway 19, Tarpon Springs, FL 34689 | 2010-03-11 |
| 1023284270 | Am Pharma LLC | Pharmacy | 1933 Through 1935 N Pinellas Ave, Tarpon Springs, FL 34689 | 2008-05-07 |
| Find all providers in zip 34689 | ||||
| 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 |
|---|---|---|---|---|
| 1003476581 | Paul Mosad | Dentist | 40958 Us Highway 19 N, Tarpon Springs, FL 34689-5446 | 2019-06-17 |
| 1912490145 | Paul Anthony Francisco | Dentist | 40545 Us Highway 19 N Unit G, Tarpon Springs, FL 34689-4833 | 2018-06-12 |
| 1497140412 | Jacobson Ma | Dentist | 40545 Us Highway 19 N Ste G, Tarpon Springs, FL 34689 | 2015-04-06 |
| 1487077806 | Ewelina Maria Kalinowska-szyszka | Dentist | 510 E Tarpon Ave, Tarpon Springs, FL 34689-4324 | 2014-01-22 |
| 1083773162 | Seema Amin | Dentist | 39342 Us Highway 19 N, Tarpon Springs, FL 34689-3987 | 2006-12-06 |
| 1851481097 | Lyndsay Hudson Mccaslin | Dentist | 3007 Ridgeline Blvd Ste A, Tarpon Springs, FL 34688-9103 | 2006-10-16 |
| 1235269911 | Mark Allen Johnson | Dentist | 138 Country Club Ct, Tarpon Springs, FL 34689 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619236 | William Garnett Newton | Dentist | 128 Yelvington Rd., East Palatka, FL 32131 | 2020-11-04 |
| 1003416017 | Phillip Jeffery Kelemen | Dentist | 5913 Plainview Dr, Port Orange, FL 32127-8911 | 2020-10-28 |
| 1215536081 | Kenneth A Mogell Dmd Pa | Dentist | 787 37th St Ste 180, Vero Beach, FL 32960-7305 | 2020-10-22 |
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1477151520 | Beacon Dental LLC | Dentist | 800 Se 4th Ave Ste 720, Hallandale Beach, FL 33009-6496 | 2020-10-12 |
| 1972100451 | South Florida Sleep Solutions LLC | Dentist | 9100 Sw 53rd St, Cooper City, FL 33328-5021 | 2020-10-07 |
| 1346847134 | Kenward & Mayoral Dentistry Partnership | Dentist | 8950 Sw 74th Ct Ste 1212, Miami, FL 33156-3170 | 2020-10-05 |
| 1174139893 | Haitham Nabood | Dentist | 7504 Ne 6th Ct Apt 5, Miami, FL 33138-5184 | 2020-09-17 |
| 1689289613 | Sydney Taylor Brown | Dentist | 4455 Sam Mitchell Dr Unit Dental, Chipley, FL 32428-3501 | 2020-09-15 |
| 1679188957 | Kai Ta Huang | Dentist | 1950 Laurel Manor Dr Ste 160, The Villages, FL 32162-5610 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | TARPON SPRINGS |
| Zip Code | 34689 |
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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.