DR. ROY GREGORY JERRELL (NPI# 1932159803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932159803 |
| Entity Type | Individual |
| Full Name | DR. ROY GREGORY JERRELL |
| Credential | D.D.S. |
| Practice Address |
1600 Sw Archer Road D4-4 Gainesville FL 32610-0405 |
| Mailing Address |
Po Box 100405 Gainesville FL 32610-0405 |
| Practice Telephone | 3522735800 |
| Practice Fax Number | 3523923070 |
| Mailing Telephone | 3523922954 |
| Mailing Fax Number | 3523923070 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DTP 267 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEA | AJ 9693676 | 01 |
| FL | DT 0000267 | 05 |
| Street Address |
1600 SW ARCHER ROAD D4-4 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-0405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831163641 | Glenn K Rousseau | Radiology | 1600 Sw Archer Road, Gainesville, FL 32610-3003 | 2006-02-16 |
| 1679032502 | Natalie Laine Rich | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Gainesville, FL 32610 | 2019-03-19 |
| 1154895902 | Martha Susanne Sturm | Nurse Anesthetist, Certified Registered | 1600 Sw Archer Road, Gainesville, FL 32611-0001 | 2019-01-15 |
| 1972076073 | Christopher Ryan Buchanan | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Gainesville, FL 32610 | 2019-01-10 |
| 1518452663 | Mohammed Mahmoud Abdelrahman Elzeneini | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Gainesville, FL 32610 | 2018-06-29 |
| 1326536343 | Allison Chunwen Lure | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Gainesville, FL 32611-0001 | 2018-04-25 |
| 1689170565 | Brandon Kenneth Janssen | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Department of Medicine Housestaff Office, Gainesville, FL 32610 | 2018-04-01 |
| 1225539943 | Patrick Donald O'connor | Physical Therapist | 1600 Sw Archer Road, Rehab Services, Gainesville, FL 32610-3003 | 2018-02-27 |
| 1245767854 | Michael Ladna | Internal Medicine | 1600 Sw Archer Road, Suite 4102, Gainesville, FL 32610 | 2017-05-12 |
| 1902257025 | Elizabeth Kyung Chu | Internal Medicine | 1600 Sw Archer Road, 4th Floor, Gainesville, FL 32610 | 2016-06-29 |
| Find all providers in the same location | ||||
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
| 1871010041 | Suha Aljuneidi | Dentist | 1395 Center Dr # 11-06, Gainesville, FL 32610-3006 | 2017-08-28 |
| 1760921480 | Peachtree Childrens Dentistry Gainesville LLC | Dentist | 885 Dawsonville Hwy., Suite 1130, Gainesville, GA 30501 | 2017-02-14 |
| 1497102966 | Mohammad Zohaib | Dentist | 7521 Virginia Oaks Dr Ste 210, Gainesville, VA 20155-3831 | 2016-05-15 |
| 1093944274 | David Ian Rosen | Dentist | 4700 Sw Archer Road, Apt S 129, Gainesville, FL 32608 | 2009-07-08 |
| 1194972901 | North Georgia Dental Sedation Center | Dentist | 655 Jesse Jewel Pkwy Se, Suite E, Gainesville, GA 30501 | 2008-08-22 |
| 1043470180 | North Texas Children's Dentistry, Pllc | Dentist | 321 North Grand Avenue, Gainesville, TX 76240 | 2008-06-12 |
| 1396912168 | Jason A Clapp Dds Pa | Dentist | 840-a E Main Street, Gainesville, TX 76240 | 2008-05-12 |
| 1881892008 | Karly Simone Fabres | Dentist | 5206 Sw 91st Ter, Apt B, Gainesville, FL 32608-7124 | 2007-07-10 |
| 1962536714 | Edna Perez | Dentist | 1600 Sw Archer Road Department of Pediatric Dentistry, College of Dentistry, University of Florida, Gainesville, FL 32610-0426 | 2007-03-15 |
| 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.