MEADOWS FAMILY DENTISTRY, LLC (NPI# 1992112353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992112353 |
| Entity Type | Organization |
| Organization Name | MEADOWS FAMILY DENTISTRY, LLC |
| Practice Address |
9912 Sr 64 Bradenton FL 34212-5303 |
| Practice Telephone | 9417451143 |
| Mailing Telephone | 9417451143 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | DR. GEORGE J MEADOWS JR. (MANAGING MEMBER) |
| Authorized Official Telephone | 9417451143 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN15677 | FL | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN12725 | FL | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN1634 | FL | Dental Providers |
| Street Address |
9912 SR 64 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34212-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789639 | Costco Wholesale Corporation | Pharmacy | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1255899852 | Lisa M Reo | Counselor | 1052 River Wind Circle, Bradenton, FL 34212 | 2019-03-04 |
| 1255897054 | Drexyl Eitniear | Massage Therapist | 6530 Anchor Loop, Apt. 18-207, Bradenton, FL 34212 | 2019-02-17 |
| 1689012163 | Sophia B Moorjani | Nurse Practitioner | 12809 Kite Drive, Bradenton, FL 34212 | 2013-06-06 |
| 1871789743 | Michael Mcconnaghy | Massage Therapist | 9904 Sr 64 East, Bradenton, FL 34212 | 2007-09-24 |
| 1841388477 | Joseph Daniel Oliveira | Radiology | 6162 9th Ave. Circle Ne, Bradenton, FL 34212 | 2006-10-10 |
| 1831116292 | Sheryl V Okuhara | Internal Medicine | 1854 Rye Road East, Unit E, Bradenton, FL 34212 | 2006-07-15 |
| 1326079625 | Kristin Beth Kulju | Chiropractor | 1850 Rye Rd, Bradenton, FL 34212 | 2006-07-05 |
| 1922063866 | Andrzej Kucharski | Family Medicine | 1040 River Heritage Blvd Unit 204, Bradenton, FL 34212 | 2006-04-20 |
| 1033779541 | Costco Wholesale Corporation | Hearing Aid Equipment | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| Find all providers in zip 34212 | ||||
| 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 |
|---|---|---|---|---|
| 1376042713 | Aldo Yonate Del Sol Martinez | Dentist | 11649 Sr 70 East, Bradenton, FL 34202 | 2018-02-11 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1184868895 | Bryan J Morgan | Dentist | 710 147th Ct Ne, Bradenton, FL 34212-5588 | 2009-04-24 |
| 1104027929 | George Joe Meadows Jr. | Dentist | 9912 E State Road 64, Bradenton, FL 34212-5303 | 2007-05-30 |
| 1861406035 | Leslie A Thompson | Dentist | 1882 59th St W, Bradenton, FL 34209-4630 | 2006-07-27 |
| 1437526308 | Smile Nation | Dentist | 6060 53rd Ave E, Suite A, Bradenton, FL 34203-9719 | 2015-08-27 |
| 1134524424 | Meadows Adult Dental Services Sr 64 LLC | Dentist | 9916 E State Road 64, Bradenton, FL 34212-5303 | 2014-10-29 |
| 1841574845 | Meadows Family Care Centers | Dentist | 9912 E State Road 64, Bradenton, FL 34212-5303 | 2011-10-10 |
| 1558409169 | Ronald S Acquaro | Dentist | 5714 21st Ave W, Bradenton, FL 34209-5606 | 2007-02-03 |
| 1285785626 | Stacey Jill Lubetsky | Dentist | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2007-01-14 |
| Find all providers in BRADENTON | ||||
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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.