DR. JENNIFER LYNN MIHALCIK NOHALTY (NPI# 1922386911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922386911 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN MIHALCIK NOHALTY |
| Credential | DMD |
| Practice Address |
704 Palm Blvd N Niceville FL 32578-1238 |
| Practice Telephone | 8506782184 |
| Practice Fax Number | 8506784910 |
| Mailing Telephone | 8506782184 |
| Mailing Fax Number | 8506784910 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN 19483 | FL | Dental Providers |
| Street Address |
704 PALM BLVD N |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283159 | Michael J Mihalcik | Dentist | 704 Palm Blvd N, Niceville, FL 32578-1238 | 2005-05-31 |
| 1912086802 | Michael J. Mihalcik, Dmd, Pa | Dentist | 704 Palm Blvd N, Niceville, FL 32578-1238 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| 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 |
|---|---|---|---|---|
| 1013376219 | Midbay Dental Pplc | Dentist | 4506 E Highway 20 Ste 100, Niceville, FL 32578-9767 | 2016-02-16 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1952441453 | Pamela Alicia Ottesen | Dentist | 1536 John Sims Pkwy E, Niceville, FL 32578-2138 | 2007-02-07 |
| 1023177094 | Leah Thompson Gagnon, D.m.d, P.a. | Dentist | 4550 Highway 20 East, Suite C, Niceville, FL 32578 | 2006-12-06 |
| 1841210267 | Justine Konane Chase | Dentist | 4579 Hwy 20 E Suite 210, Niceville, FL 32578 | 2006-07-20 |
| 1912427253 | Steven Tyler Baker | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2017-06-27 |
| 1982006516 | Sharon Shou Yun Chen | Dentist | 136 Partin Dr N, Niceville, FL 32578-2054 | 2014-09-26 |
| 1588914543 | Martin Mcclain Woolsey | Dentist | 719 Bayshore Dr, Emerald Coast Periodontics, Niceville, FL 32578-2527 | 2012-09-17 |
| 1972736882 | Jillian E. Ellison | Dentist | 136 Partin Dr N, Niceville, FL 32578-2054 | 2009-08-25 |
| 1235273392 | Leah Thompson Gagnon | Dentist | 4550 Highway 20 East, Suite C, Niceville, FL 32578 | 2007-02-20 |
| Find all providers in NICEVILLE | ||||
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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.