SHALIMAR FAMILY DENTISTRY (NPI# 1932111564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932111564 |
| Entity Type | Organization |
| Organization Name | SHALIMAR FAMILY DENTISTRY |
| Practice Address |
1 Eleventh Avenue D-3 Shalimar FL 32579 |
| Practice Telephone | 8506516700 |
| Practice Fax Number | 8506090796 |
| Mailing Telephone | 8506516700 |
| Mailing Fax Number | 8506090796 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2014-12-08 |
| Authorized Official Name | LISA FLETCHER (OWNER) |
| Authorized Official Telephone | 8506516700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134351075 | Shalimar Family Dentistry | Dentist | 2074 E Southern Ave, Suite B102, Tempe, AZ 85282-7580 | 2009-08-11 |
| Street Address |
1 ELEVENTH AVENUE D-3 |
| City | SHALIMAR |
| State | FL |
| Zip Code | 32579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407382278 | Rehabcare Group East, LLC | Clinic/Center | 1200 Hawthorne Hse Dr, Shalimar, FL 32579 | 2017-05-11 |
| 1952685570 | Gary Anthony Moeller | Dentist | 1 Eleventh Ave, Suite D-3, Shalimar, FL 32579 | 2011-09-30 |
| 1366538035 | Bradley Hamilton Young | Chiropractor | 6 11th Avenue, Suite H-3, Shalimar, FL 32579 | 2006-10-04 |
| 1972761757 | Dr Bradley H Young D C P A | Chiropractor | 6 11th Avenue, Suite H-3, Shalimar, FL 32579 | 2008-05-28 |
| 1255583795 | Ann Mcmanis | Pharmacist | 15 Healthcare Ln, Shalimar, FL 32579-0000 | 2008-10-15 |
| 1699950857 | Karen Michelle Reid | Counselor | 21 Longwood Dr, Shalimar, FL 32579-1013 | 2008-01-07 |
| 1285876540 | Beyond Expectations | Counselor | 21 Longwood Dr, Shalimar, FL 32579-1013 | 2009-04-01 |
| 1558414649 | Self Expressions Nursing Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1 Sherwood Dr, Shalimar, FL 32579-1023 | 2007-01-19 |
| 1235761644 | Krista L Evans | Physical Therapist | 104 Hands Cove Ln, Shalimar, FL 32579-1051 | 2020-02-04 |
| 1083186340 | Rendi Bonner | Nurse Practitioner | 105 Hands Cove Ln, Shalimar, FL 32579-1052 | 2018-12-27 |
| Find all providers in zip 32579 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952685570 | Gary Anthony Moeller | Dentist | 1 Eleventh Ave, Suite D-3, Shalimar, FL 32579 | 2011-09-30 |
| 1114150760 | Kelly Adair Seebaldt | Dentist | 1 11th Ave, Suite D-3, Shalimar, FL 32579-1324 | 2009-08-31 |
| 1184661019 | David John Hanle | Dentist | 1115 Eglin Pkwy, Shalimar, FL 32579-1228 | 2006-05-31 |
| 1518004068 | George B Dorris Jr. | Dentist | 1115 Eglin Pkwy, Shalimar, FL 32579-1228 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326843 | Stellar Smiles Inc. | Dentist | 1501 Corporate Dr Apt 311, Boynton Beach, FL 33426-6600 | 2020-11-07 |
| 1962003269 | Magic Touch Dentistry, P.a. | Dentist | 2 Oakwood Blvd Ste 150a, Hollywood, FL 33020-1960 | 2020-11-03 |
| 1982203584 | Crystel Ananos Riggs Dmd Pa | Dentist | 900 Se Ocean Blvd Ste 248, Stuart, FL 34994-3501 | 2020-10-23 |
| 1053910315 | Dental Buddies of Vero Beach | Dentist | 3755 7th Ter Ste 303, Vero Beach, FL 32960-6547 | 2020-10-19 |
| 1295332013 | Dentists of Nona, Pa | Dentist | 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 | 2020-10-05 |
| 1073110177 | Coral Springs Dental Group, LLC | Dentist | 2029 N University Dr, Coral Springs, FL 33071-6132 | 2020-10-02 |
| 1316554686 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 15800 Orange Blvd, Loxahatchee, FL 33470-3442 | 2020-09-30 |
| 1861009136 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 5068 W State Road 46, Sanford, FL 32771-9246 | 2020-09-30 |
| 1003423922 | Aurora Dental Group, P.a | Dentist | 6176 Sw 8 Street, Miami, FL 33144 | 2020-09-24 |
| 1063029122 | Steven Gross | Dentist | 2021 Ne 210th St, Miami, FL 33179-1629 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.