AVALONDENTAL GROUP (NPI# 1942556337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942556337 |
| Entity Type | Organization |
| Organization Name | AVALONDENTAL GROUP |
| Practice Address |
12950 E Colonial Dr Ste 124 Orlando FL 32826-4609 |
| Practice Telephone | 4072811119 |
| Practice Fax Number | 4073813711 |
| Mailing Telephone | 4072811119 |
| Mailing Fax Number | 4073813711 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |
| Authorized Official Name | MRS. NGA K VAN (DENTIST) |
| Authorized Official Telephone | 4072811119 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DN17986 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003333500 | 05 |
| Street Address |
12950 E COLONIAL DR STE 124 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32826-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356800775 | Town Park Dental, P.a. | Clinic/Center | 12950 E Colonial Dr Ste 124, Orlando, FL 32826-4609 | 2019-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908859 | Deja Duclos | Student in an Organized Health Care Education/Training Program | 12201 Research Pakwy, Suite 300, Orlando, FL 32826 | 2020-09-24 |
| 1407330145 | Providence Dental LLC | Dentist | 12450 E. Colonial Drive Suite 124, Orlando, FL 32826 | 2018-09-19 |
| 1013404391 | Maria Elena Burgett | Massage Therapist | 1858 N Alafaya Trl Ste 209, Orlando, FL 32826 | 2018-04-22 |
| 1033646112 | Shayna Anne Ellery | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826 | 2017-05-19 |
| 1003341769 | Samantha Justyn | Pharmacist | 12612 Challenger Parkway, Suite 365, Orlando, FL 32826 | 2017-05-01 |
| 1083152946 | Brenda Garcia | Counselor | 3157 N. Alafaya Trail, Orlando, FL 32826 | 2017-02-10 |
| 1588106017 | Christina Marie Calamis | Behavior Technician | 2100 N Alafaya Trl, Orlando, FL 32826 | 2016-11-15 |
| 1427406115 | Leslie Selina Bennett | Behavioral Analyst | 13645 E Colonial Dr Apt D390, Orlando, FL 32826 | 2016-06-02 |
| 1003219130 | Helen Waller | Social Worker | 12080 Mendel Dr, Orlando, FL 32826 | 2014-10-03 |
| 1992070783 | Erin Jean Pearce | Nurse Practitioner | 3151 North Alafaya Trail Suite 101, Orlando, FL 32826 | 2012-03-13 |
| Find all providers in zip 32826 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679669105 | Maria D. Demas | Dentist | 832 W. Central Blvd, Orlando, FL 32805 | 2006-10-04 |
| 1417126913 | Brigid Walsh Trent | Dentist | 849 Greenway Professional Ct, Orlando, FL 32824-9482 | 2008-02-28 |
| 1063553774 | Richard G. Russo | Dentist | 832 W Central Blvd, Orlando, FL 32805-1809 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655408 | Bedside Dental Services | Dentist | 15654 Sw 14th St, Miami, FL 33194-2627 | 2020-09-23 |
| 1609417815 | Arthur Farlow Burt | Dentist | 7655 W Gulf To Lake Hwy Ste 8, Crystal River, FL 34429-7910 | 2019-09-30 |
| 1518422294 | Brittany Fennell | Dentist | 13201 New Berlin Rd, Jacksonville, FL 32226 | 2019-02-06 |
| 1760954408 | Bright Smiles Dental Studio,pa Dba | Dentist | 730 Goodlette Rd N Ste 206, Naples, FL 34102-5618 | 2018-12-19 |
| 1730650839 | Smile Family Dental Group LLC | Dentist | 1900 Coral Way Ste 200, Coral Gables, FL 33145-2661 | 2018-12-16 |
| 1740779735 | Complete Family Dentistry, LLC | Dentist | 3015 Bayview Drive Suite B, Fort Lauderdale, FL 33306 | 2018-05-04 |
| 1255705273 | Theoral Health Institute | Dentist | 910 Sw 15th St, Deerfield Beach, FL 33441-6222 | 2015-11-16 |
| 1861802738 | Anette Betaneor, Dds, Pa | Dentist | 8372 Sw 40 St, Miami, FL 33155 | 2014-05-01 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| 1881959658 | Sarah Elizabeth Vanderbosch | Dentist | 9510 Bonita Beach Rd Se Ste 101, Bonita Springs, FL 34135-4699 | 2012-07-09 |
| 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.