DR. MICHAEL ANDREW VERSAGGI (NPI# 1972789725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972789725 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANDREW VERSAGGI |
| Credential | DDS |
| Practice Address |
150 Malaga St St Augustine FL 32084-3521 |
| Practice Telephone | 9048299024 |
| Practice Fax Number | 9048293546 |
| Mailing Telephone | 9048299024 |
| Mailing Fax Number | 9048293546 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7624 | FL | Dental Providers |
| Street Address |
150 MALAGA ST |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730428749 | Marie Cross Pucillo | Dentist | 150 Malaga St, St Augustine, FL 32084-3521 | 2013-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780200634 | Phillip Forbes | Dentist | 405 S Ponce De Leon Blvd, St Augustine, FL 32084-4219 | 2020-06-17 |
| 1861048043 | Tanjeet Cheema | Dentist | 1980 Us Highway 1 S, St Augustine, FL 32086-4233 | 2019-08-14 |
| 1073035911 | Rusha G Awad | Dentist | 46 Tuscan Way Ste 306, St Augustine, FL 32092-1849 | 2017-07-12 |
| 1770817389 | Emily Weldon Tyler | Dentist | 2510 Us Highway 1 S, Suite B, St Augustine, FL 32086-6100 | 2009-09-29 |
| 1982868634 | Steven R. Freeman Dds Pl | Dentist | 319 W Town Pl Ste 21, St Augustine, FL 32092-3103 | 2008-07-11 |
| 1053578690 | Maria Zita Narvaez | Dentist | 303a Anastasia Blvd, St Augustine, FL 32080-4506 | 2008-05-21 |
| 1720284698 | Rex Beasom Painter | Dentist | 10 Dolphin Dr, St Augustine, FL 32080-4531 | 2007-06-26 |
| 1194943076 | Gregory Tarantola | Dentist | 559 W Twincourt Trl, 606, St Augustine, FL 32095-8805 | 2007-04-23 |
| 1497870646 | Jeremiah Daniel Gordon | Dentist | 135 Jenkins St, Suite 105a, St Augustine, FL 32086-5175 | 2007-03-20 |
| 1407966542 | Henry James Tabeling | Dentist | 117 Saint Andrews Place Dr, St Augustine, FL 32092-0774 | 2006-08-30 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
Please comment or provide details below to improve the information on DR. MICHAEL ANDREW VERSAGGI.
| 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.