COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. (NPI# 1972007912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972007912 |
| Entity Type | Organization |
| Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. |
| Other Organization Name | NORTH PORT ORAL SURGERY & DENTISTRY |
| Practice Address |
2787 Sycamore St Ste 106 North Port FL 34289-9513 |
| Practice Telephone | 9414231750 |
| Mailing Telephone | 9414231750 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Authorized Official Name | CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD) |
| Authorized Official Telephone | 2175408972 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| North Port Oral Surgery & Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554686 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 15800 Orange Blvd, Loxahatchee, FL 33470-3442 | 2020-09-30 |
| 1376158030 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 625 N Us Highway 441, Lady Lake, FL 32159-3714 | 2020-09-10 |
| 1992310866 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 12152 Mercado Dr, Venice, FL 34293-1155 | 2020-09-09 |
| 1871106260 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 | 2020-08-26 |
| 1780293779 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 300 Alt 19 Ste B, Palm Harbor, FL 34683-5356 | 2020-07-27 |
| 1013534023 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 7255 Kathleen Rd, Lakeland, FL 33810-4722 | 2020-06-26 |
| 1316566078 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4921 State Road 674, Wimauma, FL 33598-3534 | 2020-04-13 |
| 1124657572 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 9749 Commercial Way, Weeki Wachee, FL 34613-3979 | 2020-04-07 |
| 1174157275 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5837 Seven Mile Dr, Wildwood, FL 34785-8852 | 2020-02-27 |
| 1093349284 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 202 Ronald Reagan Pkwy, Davenport, FL 33896-9606 | 2020-02-26 |
| Street Address |
2787 SYCAMORE ST STE 106 |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34289-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477085439 | Heather Proctor | Counselor | 2571 N Toledo Blade Blvd Unit 3, North Port, FL 34289 | 2017-03-29 |
| 1649538281 | Lisa Beth Gussin | Counselor | 2562 Commerce Parkway, North Port, FL 34289 | 2012-05-02 |
| 1790090538 | Flagel Pediatric & Family Medicine P A | Clinic/Center | 2572 Commerce Parkway, North Port, FL 34289 | 2010-08-17 |
| 1427101773 | Belinda Alma | Counselor | 2564 Commerce Pkwy., Suite 1, North Port, FL 34289 | 2007-01-19 |
| 1659477727 | Mark C Burne | Dentist | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289 | 2006-09-16 |
| 1710119177 | North Port Oral Surgery Inc. | Clinic/Center | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289 | 2009-08-19 |
| 1184885014 | Maytal Adlersberg | Physical Therapy Assistant | 2334 Rosewood Ln, North Port, FL 34289-1404 | 2008-06-23 |
| 1578698346 | Daniela Sodre | Speech-Language Pathologist | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2007-02-22 |
| 1316551765 | Heather Sifford | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-09-03 |
| 1619590460 | Cassie Wills | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
| Find all providers in zip 34289 | ||||
| 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 |
|---|---|---|---|---|
| 1376038547 | Marjan Mirkheshti | Dentist | 5696 Tuscola Blvd, North Port, FL 34287-2738 | 2018-06-28 |
| 1962996041 | Logan D Poff | Dentist | 14884 Tamiami Trl, North Port, FL 34287-2701 | 2018-06-21 |
| 1114446218 | Shore Dental, LLC | Dentist | 4901 White Ibis Drive, North Port, FL 34287 | 2017-09-11 |
| 1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
| 1093155236 | Celebrity Smiles Dental | Dentist | 13801 Tamiami Trl Ste B, North Port, FL 34287-2017 | 2013-07-02 |
| 1366591042 | Eric-john Claessens | Dentist | 12450 Tamiami Trl S Unit A, North Port, FL 34287-1473 | 2007-01-10 |
| 1891863056 | Thomas Robert Cherpak | Dentist | 14985 S. Tamiami Trail, North Port, FL 34287 | 2006-12-04 |
| 1174626360 | Aaron M Memon | Dentist | 14500 Tamiami Trl, North Port, FL 34287-2723 | 2006-09-06 |
| 1467413997 | Vincent Delle-donne | Dentist | 13801 Tamiami Trl, Suite B, North Port, FL 34287-2017 | 2006-04-01 |
| 1871568386 | Edward Moitoso | Dentist | 3015 Bobcat Village Center Rd, North Port, FL 34288-8972 | 2006-02-19 |
| Find all providers in NORTH PORT | ||||
| City | NORTH PORT |
| Zip Code | 34289 |
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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.