DR. THERESA A YASONIS (NPI# 1962615716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962615716 |
| Entity Type | Individual |
| Full Name | DR. THERESA A YASONIS |
| Credential | DMD |
| Practice Address |
730 Emerson Dr Ne Palm Bay FL 32907-1430 |
| Mailing Address |
491 Bella Camino Way Indialantic FL 32903-4765 |
| Practice Telephone | 3219847878 |
| Practice Fax Number | 3219530279 |
| Mailing Telephone | 3217791592 |
| Mailing Fax Number | 3219530279 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11898 | FL | Dental Providers |
| Street Address |
730 EMERSON DR NE |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922576990 | Kimberly Fischer | Counselor | 730 Emerson Dr Ne, Palm Bay, FL 32907-1430 | 2018-11-08 |
| 1932642634 | Ultimate Smile Design LLC | Dentist | 730 Emerson Dr Ne, Palm Bay, FL 32907-1430 | 2016-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| 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 |
|---|---|---|---|---|
| 1518517077 | Professional Dental Alliance of Palm Bay Palm Bay Rd, Pllc | Dentist | 1890 Palm Bay Rd Ne Ste 2, Palm Bay, FL 32905-3071 | 2019-09-17 |
| 1528547353 | Professional Dental Alliance of Minton, Pllc | Dentist | 5132 Minton Rd Nw Ste A, Palm Bay, FL 32907-1110 | 2018-08-13 |
| 1942650155 | Karan Doomra | Dentist | 3590 Bayside Lakes Blvd Se Ste 1, Palm Bay, FL 32909-6866 | 2016-06-18 |
| 1285047506 | New Image Dentisty of Palm Bay | Dentist | 3590 Bayside Lakes Blvd Se, Palm Bay, FL 32909-6866 | 2014-06-04 |
| 1558602169 | Subhash G Rege | Dentist | 1764 Palm Bay Rd Ne, Palm Bay, FL 32905-2904 | 2013-03-06 |
| 1083974901 | Liliana Marshall Dmd Pllc | Dentist | 2186 Harris Ave Ne Ste 3, Palm Bay, FL 32905-4044 | 2012-05-24 |
| 1457628505 | Paula Fiuza Bielak | Dentist | 5132 Minton Rd Nw Ste I, Palm Bay, FL 32907-1110 | 2011-11-17 |
| 1851611669 | Eva Maria Napoles Rodriguez | Dentist | 1421 Malabar Rd Ne Ste 240, Palm Bay, FL 32907-2559 | 2010-06-03 |
| 1679703185 | Curtis B. Hill, Jr., Dmd, Pa | Dentist | 1400 Palm Bay Rd Ne, Ste A, Palm Bay, FL 32905-3851 | 2009-07-17 |
| 1912086034 | Kenneth M Yip-young | Dentist | 3440 Bayside Lakes Blvd Se, Suite 1, Palm Bay, FL 32909-6843 | 2006-11-02 |
| Find all providers in PALM BAY | ||||
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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.