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Participating Providers Florida September 2021 Solstice Access+ D1033/D1031

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Welcome to UnitedHealthcare’s
Dental Plan Please take a moment to review this provider directory. We want to make sure you are satisfied with your dental benefits. If you have any questions, please contact the Member Services Department.
Your dental directory We have included an extensive directory of network dentists located throughout the community. The dentist information that can be found within this directory includes:
• Name, location and phone number • Foreign languages spoken, if any • Wheelchair accessibility • Licensure, certification and other regulatory considerations • Whether or not the office is accepting new patients
A list of general dentists and specialists is included in this directory. You do not need a referral from a general dentist to receive care from a specialist.
Should you have questions, please call the toll-free number listed in your enrollment information. We offer language assistance services if you require translations or need assistance receiving care in languages other than English. Contact our Member Services Department for translation support.
Meeting our quality standards You can have confidence knowing you are receiving care from dentists who have been carefully selected for participation in our network. All network dentists undergo a rigorous review and credentialing process prior to being accepted into our network, which includes the following major elements:
• Dentist education, training and experience • Malpractice history
This process confirms that each dentist has the required credentials to participate in the network. We cannot guarantee the continuing participation of dentists currently listed in this directory. When a provider no longer participates in the network, or has changed participation status, additional costs may be incurred. We recommend that you call the Member Services Department to verify that a dentist is currently participating in the network prior to seeking care.
American Disabilities Act Notice: In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), we provide full and equal access to covered services and do not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.
Copies of our network provider directory are available at no cost by calling the Member Services Department.
If you believe there is an error in this directory, please call us at 1-800-445-9090 or email at [email protected].
The information contained in this document is accurate as of the first of the month. You may also visit the www.myuhc.com for current information at any time.
We do not treat members differently because of sex, age, race, color, disability or national origin. If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to the Civil Rights Coordinator.
Online: [email protected] Mail: Civil Rights Coordinator. UnitedHealthcare Civil Rights Grievance. P.O. Box 30608 Salt Lake City, UTAH 84130
You must send the complaint within 60 days of when you found out about it. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again. If you need help with your complaint, please call the toll-free phone number listed on your identification card, Monday through Friday, 7 a.m. to 10 p.m. CST.
You can also file a complaint with the U.S. Dept. of Health and Human Services. Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Phone: Toll-free 1-800-368-1019, 800-537-7697 (TDD) Mail: U.S. Dept. of Health and Human Services. 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201
We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call the toll-free phone number listed on your identification card, Monday through Friday, 7 a.m. to 10 p.m. CST.
5GENERAL DENTISTS
SIMON BRODSKY COAST DENTAL-GAINESVILLE (352)-371-7766 Prov. No: 000012884722 5021 NW 34TH BLVD STE A GAINESVILLE, FL 32605 Gender: Male NPI: 1225525272 License: DN23232 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-371-1080 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SIMON BRODSKY COAST DENTAL-NEWBERRY SQUARE (352)-332-4180 Prov. No: 000013700498 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Male NPI: 1225525272 License: DN23232 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MICHAEL L CROVATT COAST DENTAL-NEWBERRY SQUARE (352)-332-4180 Prov. No: 000013841235 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Male NPI: 1811056583 License: DN9579 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MICHAEL L CROVATT COAST DENTAL-GAINESVILLE (352)-371-7766 Prov. No: 000013841293 5021 NW 34TH BLVD STE A GAINESVILLE, FL 32605 Gender: Male NPI: 1811056583 License: DN9579 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-371-1080 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BOBBY W DEASON SMILE DESIGN GAINSVILLE (352)-414-0433 Prov. No: 000013776865 6110 NW 1ST PL STE A GAINESVILLE, FL 32607 Gender: Male NPI: 1548388135 License: DN6332 Board Certified: Not Reported E-mail: GAINSVILLE@THESMILEDESI GN.COM Fax: (813)-464-3184 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RIHAM K DIASTI COAST DENTAL-NEWBERRY SQUARE (352)-332-4180 Prov. No: 000013841136 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Female NPI: 1588775290 License: DN15768 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RIHAM K DIASTI COAST DENTAL-GAINESVILLE (352)-371-7766 Prov. No: 000013841294 5021 NW 34TH BLVD STE A GAINESVILLE, FL 32605 Gender: Female NPI: 1588775290 License: DN15768 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-371-1080 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JULES D GOLDSTEIN COAST DENTAL-GAINESVILLE (352)-371-7766 Prov. No: 000013524338 5021 NW 34TH BLVD STE A GAINESVILLE, FL 32605 Gender: Male NPI: 1548393101 License: DN6809 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-371-1080 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JULES D GOLDSTEIN COAST DENTAL-NEWBERRY SQUARE (352)-332-4180 Prov. No: 000013841134 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Male NPI: 1548393101 License: DN6809 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
THOMAS HUNTLEY LOEHR TIOGA DENTAL & ORTHODONTICS CELEBRATION POINTE LLC (352)-388-3250 Prov. No: 000013887629 3147 SW 45TH ST STE 40 GAINESVILLE, FL 32608 Gender: Male NPI: 1821649039 License: DN24694 Board Certified: Not Reported E-mail: Not Reported Fax: Not Reported Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
YOUNGJIN KANG ASPEN DENTAL (352)-333-7788 Prov. No: 000013704081 6921 W NEWBERRY RD STE B GAINESVILLE, FL 32605 Gender: Male NPI: 1538680053 License: DN22858 Board Certified: Not Reported E-mail: Not Reported Fax: (352)-332-4380 Accepts New Patients: Y Language: English;Korean Hospital Affiliation: *N/A
CHARBEL A KLAIB COAST FLORIDA PA (352)-371-7766 Prov. No: 000001123138 5021 NW 34TH BLVD STE A GAINESVILLE, FL 32605 Gender: Male NPI: 1134390396 License: DN18128 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-371-1080 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
6 GENERAL DENTISTS (Continued)
CHARBEL A KLAIB COAST DENTAL AT NEWBERRY SQUARE (352)-332-4180 Prov. No: 000001123150 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Male NPI: 1134390396 License: DN18128 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOHN A MASON COAST DENTAL-NEWBERRY SQUARE (352)-332-4180 Prov. No: 000013875191 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Male NPI: 1851370456 License: DN12116 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOHN A MASON COAST DENTAL-GAINESVILLE (352)-371-7766 Prov. No: 000013875220 5021 NW 34TH BLVD STE A GAINESVILLE, FL 32605 Gender: Male NPI: 1851370456 License: DN12116 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-371-1080 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MILI D PATEL SMILE DESIGN GAINSVILLE (352)-414-0433 Prov. No: 000012586056 6110 NW 1ST PL STE A GAINESVILLE, FL 32607 Gender: Female NPI: 1528127776 License: DN15964 Board Certified: Not Reported E-mail: GAINSVILLE@THESMILEDESI GN.COM Fax: (813)-464-3184 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LENEAL POWELL ASPEN DENTAL (352)-333-7788 Prov. No: 000012996460 6921 W NEWBERRY RD STE B GAINESVILLE, FL 32605 Gender: Male NPI: 1174008643 License: DN23827 Board Certified: Not Reported E-mail: Not Reported Fax: (352)-332-4380 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANA M PUEBLA COAST DENTAL-NEWBERRY SQUARE (352)-332-4180 Prov. No: 000013859104 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Female NPI: 1679158141 License: DN14359 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANA M PUEBLA COAST DENTAL-GAINESVILLE (352)-371-7766 Prov. No: 000013859144 5021 NW 34TH BLVD STE A GAINESVILLE, FL 32605 Gender: Female NPI: 1679158141 License: DN14359 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-371-1080 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ISHWER P REHSI COAST DENTAL-NEWBERRY SQUARE (352)-332-4180 Prov. No: 000013875178 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Male NPI: 1972719961 License: DN15061 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ISHWER P REHSI COAST DENTAL-GAINESVILLE (352)-371-7766 Prov. No: 000013875219 5021 NW 34TH BLVD STE A GAINESVILLE, FL 32605 Gender: Male NPI: 1972719961 License: DN15061 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-371-1080 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
WHITNEY SCHAFF SMILE DESIGN GAINSVILLE (352)-414-0433 Prov. No: 000012923618 6110 NW 1ST PL STE A GAINESVILLE, FL 32607 Gender: Female NPI: 1215454830 License: DN23741 Board Certified: Not Reported E-mail: GAINSVILLE@THESMILEDESI GN.COM Fax: (813)-464-3184 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
NIKOLA SKAKAVAC ASPEN DENTAL (352)-333-7788 Prov. No: 000013750786 6921 W NEWBERRY RD GAINESVILLE, FL 32605 Gender: Male NPI: 1528676541 License: DN25218 Board Certified: Not Reported E-mail: Not Reported Fax: (352)-332-4380 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MINSUNG SON ASPEN DENTAL (352)-333-7788 Prov. No: 000012589036 6921 W NEWBERRY RD STE B GAINESVILLE, FL 32605 Gender: Male NPI: 1922338474 License: DN18911 Board Certified: Not Reported E-mail: Not Reported Fax: (352)-332-4380 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
7GENERAL DENTISTS (Continued)
ALACHUA COUNTY (Cont)
LEAH M STAMLER COAST DENTAL-NEWBERRY SQUARE (352)-332-4180 Prov. No: 000013841226 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Female NPI: 1821284845 License: DN23952 Board Certified: Not Reported E-mail: Not Reported Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LEAH M STAMLER COAST DENTAL-GAINESVILLE (352)-371-7766 Prov. No: 000013844610 5021 NW 34TH BLVD STE A GAINESVILLE, FL 32605 Gender: Female NPI: 1821284845 License: DN23952 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-371-1080 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KINJAL S VORA COAST DENTAL-NEWBERRY SQUARE (352)-332-4180 Prov. No: 000013859108 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Female NPI: 1932652302 License: DN25094 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KINJAL S VORA COAST DENTAL-GAINESVILLE (352)-371-7766 Prov. No: 000013859177 5021 NW 34TH BLVD STE A GAINESVILLE, FL 32605 Gender: Female NPI: 1932652302 License: DN25094 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-371-1080 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BRUCE D WATERMAN COAST DENTAL-NEWBERRY SQUARE (352)-332-4180 Prov. No: 000013859115 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Male NPI: 1144341595 License: DN9391 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BRUCE D WATERMAN COAST DENTAL-GAINESVILLE (352)-371-7766 Prov. No: 000013859153 5021 NW 34TH BLVD STE A GAINESVILLE, FL 32605 Gender: Male NPI: 1144341595 License: DN9391 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-371-1080 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BEI C WRIGHT COAST DENTAL-NEWBERRY SQUARE (352)-332-4180 Prov. No: 000013849040 1010 NW 76TH BLVD GAINESVILLE, FL 32606 Gender: Female NPI: 1225696891 License: DN24135 Board Certified: Not Reported E-mail: [email protected] OM Fax: (352)-332-7894 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
NEWBERRY
VIVEKANAND V NERIKAR JONESVILLE FAMILY DENTISTRY (352)-332-3080 Prov. No: A00000021401 175 NW 138TH TER STE 200 NEWBERRY, FL 32669 Gender: Male NPI: 1538179049 License: DN14905 Board Certified: Not Reported E-mail: JONESVILLEFAMILYDENTIST [email protected] Fax: (352)-333-3729 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BAY COUNTY
PANAMA CITY
SHABANA AZAM WHITE SAND DENTAL STUDIO (850)-588-5256 Prov. No: 000012594320 3135 THOMAS DR PANAMA CITY, FL 32408 Gender: Female NPI: 1083051106 License: DN21078 Board Certified: Not Reported E-mail: [email protected] OM Fax: (850)-775-4154 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MEGHANN CLAUSSEN PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000012588533 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Female NPI: 1336454651 License: DN19128 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MEGHANN CLAUSSEN PANCARE OF FLORIDA INC (850)-747-5272 Prov. No: 000013721968 2309 E 15TH ST PANAMA CITY, FL 32405 Gender: Female NPI: 1336454651 License: DN19128 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-747-5274 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RACHEL P DUCKWORTH ASPEN DENTAL (850)-238-3326 Prov. No: 000013729162 15450 PANAMA CITY BEACH PKWY PANAMA CITY, FL 32413 Gender: Female NPI: 1114540820 License: DN24853 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-235-9780 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
8 GENERAL DENTISTS (Continued)
BAY COUNTY (Cont)
PANAMA CITY (Cont)
LORI S GRUSKIN ASPEN DENTAL (850)-238-3326 Prov. No: 000013877061 15450 PANAMA CITY BEACH PKWY PANAMA CITY, FL 32413 Gender: Female NPI: 1487263067 License: DN25296 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-235-9780 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LORI S GRUSKIN ASPEN DENTAL (850)-532-6068 Prov. No: 000013878389 510 E 23RD ST PANAMA CITY, FL 32405 Gender: Female NPI: 1487263067 License: DN25296 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-763-1068 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RICHARD N HUDON PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000013711253 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Male NPI: 1245336031 License: DN13094 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RICHARD N HUDON PANCARE OF FLORIDA INC (850)-747-5272 Prov. No: 000013721967 2309 E 15TH ST PANAMA CITY, FL 32405 Gender: Male NPI: 1245336031 License: DN13094 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-747-5274 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOHANA KUTROLLI ASPEN DENTAL (850)-238-3326 Prov. No: 000013628519 15450 PANAMA CITY BEACH PKWY PANAMA CITY, FL 32413 Gender: Female NPI: 1780230896 License: DN24526 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-235-9780 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOHANA KUTROLLI ASPEN DENTAL (850)-532-6068 Prov. No: 000013628525 510 E 23RD ST PANAMA CITY, FL 32405 Gender: Female NPI: 1780230896 License: DN24526 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-763-1068 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BRANDON W MECKELBERG ASPEN DENTAL (850)-238-3326 Prov. No: 000012659630 15450 PANAMA CITY BEACH PKWY PANAMA CITY, FL 32413 Gender: Male NPI: 1457871188 License: DN22871 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-235-9780 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BRANDON W MECKELBERG ASPEN DENTAL (850)-532-6068 Prov. No: 000013782187 510 E 23RD ST PANAMA CITY, FL 32405 Gender: Male NPI: 1457871188 License: DN22871 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-763-1068 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MICHELLE M MOFFA PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000012589396 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Female NPI: 1841277407 License: DN21740 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MICHELLE M MOFFA PANCARE OF FLORIDA INC (850)-747-5272 Prov. No: 000013721966 2309 E 15TH ST PANAMA CITY, FL 32405 Gender: Female NPI: 1841277407 License: DN21740 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-747-5274 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANDREW W NORTON PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000012268649 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Male NPI: 1861754020 License: DN19745 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANDREW W NORTON PANCARE OF FLORIDA INC (850)-747-5272 Prov. No: 000013721965 2309 E 15TH ST PANAMA CITY, FL 32405 Gender: Male NPI: 1861754020 License: DN19745 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-747-5274 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
9GENERAL DENTISTS (Continued)
BAY COUNTY (Cont)
PANAMA CITY (Cont)
RICHARD G PANKUCH PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000012588430 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Male NPI: 1467452847 License: HAD73 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RICHARD G PANKUCH PANCARE OF FLORIDA INC (850)-747-5272 Prov. No: 000013721964 2309 E 15TH ST PANAMA CITY, FL 32405 Gender: Male NPI: 1467452847 License: HAD73 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-747-5274 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANISHKUMAR T PATEL COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS PA (850)-763-8788 Prov. No: 000000285636 1022 HARRISON AVE PANAMA CITY, FL 32401 Gender: Male NPI: 1417905597 License: DN17143 Board Certified: Not Reported E-mail: Not Reported Fax: (904)-269-1307 Accepts New Patients: Y Language: English;Spanish;Hindi Hospital Affiliation: *N/A
SHEENA PATE PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000012259424 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Female NPI: 1215255880 License: DN18871 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
HEATHER G PEREZ ASPEN DENTAL (850)-238-3326 Prov. No: 000013281745 15450 PANAMA CITY BEACH PKWY PANAMA CITY, FL 32413 Gender: Female NPI: 1710468723 License: DN23361 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-235-9780 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
GARY M PIORKOWSKI PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000012589395 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Male NPI: 1699705434 License: DN21660 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
GARY M PIORKOWSKI PANCARE OF FLORIDA INC (850)-747-5272 Prov. No: 000013721963 2309 E 15TH ST PANAMA CITY, FL 32405 Gender: Male NPI: 1699705434 License: DN21660 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-747-5274 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
CARLOS RODRIGUEZ ASPEN DENTAL (850)-238-3326 Prov. No: 000013887671 15450 PANAMA CITY BEACH PKWY PANAMA CITY, FL 32413 Gender: Male NPI: 1043889462 License: DN26072 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-235-9780 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
CARLOS RODRIGUEZ ASPEN DENTAL (850)-532-6068 Prov. No: 000013891556 510 E 23RD ST PANAMA CITY, FL 32405 Gender: Male NPI: 1043889462 License: DN26072 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-763-1068 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
IRIS M SANTOS PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000013711722 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Female NPI: 1487875233 License: DN23084 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
IRIS M SANTOS PANCARE OF FLORIDA INC (850)-747-5272 Prov. No: 000013721962 2309 E 15TH ST PANAMA CITY, FL 32405 Gender: Female NPI: 1487875233 License: DN23084 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-747-5274 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
POORANDAI SHIVBARAN ASPEN DENTAL (850)-532-6068 Prov. No: 000013890982 510 E 23RD ST PANAMA CITY, FL 32405 Gender: Female NPI: 1568031086 License: Not Reported Board Certified: Not Reported E-mail: Not Reported Fax: (850)-763-1068 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
10 GENERAL DENTISTS (Continued)
BAY COUNTY (Cont)
PANAMA CITY (Cont)
POORANDAI SHIVBARAN ASPEN DENTAL (850)-238-3326 Prov. No: 000013891566 15450 PANAMA CITY BEACH PKWY PANAMA CITY, FL 32413 Gender: Female NPI: 1568031086 License: Not Reported Board Certified: Not Reported E-mail: Not Reported Fax: (850)-235-9780 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LAURENCE SITCHON ASPEN DENTAL (850)-238-3326 Prov. No: 000013765304 15450 PANAMA CITY BEACH PKWY PANAMA CITY, FL 32413 Gender: Female NPI: 1982212833 License: DN25331 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-235-9780 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LAURENCE SITCHON ASPEN DENTAL (850)-532-6068 Prov. No: 000013765305 510 E 23RD ST PANAMA CITY, FL 32405 Gender: Female NPI: 1982212833 License: DN25331 Board Certified: Not Reported E-mail: Not Reported Fax: (850)-763-1068 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
AMY L SMITH PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000012906346 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Female NPI: 1831209899 License: HAD69 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
AMY L SMITH PANCARE OF FLORIDA INC (850)-747-5272 Prov. No: 000013721961 2309 E 15TH ST PANAMA CITY, FL 32405 Gender: Female NPI: 1831209899 License: HAD69 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-747-5274 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
KANYARATANA VAN DYKE PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000013026990 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Female NPI: 1003122656 License: DN18668 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KANYARATANA VAN DYKE PANCARE OF FLORIDA INC (850)-747-5272 Prov. No: 000013721960 2309 E 15TH ST PANAMA CITY, FL 32405 Gender: Female NPI: 1003122656 License: DN18668 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-747-5274 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RHONDA E WILHITE PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000013712614 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Female NPI: 1952496341 License: HAD65 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RHONDA E WILHITE PANCARE OF FLORIDA INC (850)-747-5272 Prov. No: 000013721959 2309 E 15TH ST PANAMA CITY, FL 32405 Gender: Female NPI: 1952496341 License: HAD65 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-747-5274 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SEAN T WILLIAMS PANCARE OF FLORIDA (850)-767-3350 Prov. No: 000013131822 403 E 11TH ST PANAMA CITY, FL 32401 Gender: Male NPI: 1306376512 License: DN22573 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-767-3353 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SEAN T WILLIAMS PANCARE OF FLORIDA INC (850)-747-5272 Prov. No: 000013721957 2309 E 15TH ST PANAMA CITY, FL 32405 Gender: Male NPI: 1306376512 License: DN22573 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-747-5274 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
PANAMA CITY BEACH
ALY MORSHED (850)-588-9000 Prov. No: 000012227473 11695 PANAMA CITY BEACH PKWY PANAMA CITY BEACH, FL 32407 Gender: Male NPI: 1730244948 License: DN18413 Board Certified: N E-mail: Not Reported Fax: (850)-588-5593 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
YOUNGSTOWN
11GENERAL DENTISTS (Continued)
BAY COUNTY (Cont)
MEGHANN CLAUSSEN PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000012615052 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Female NPI: 1336454651 License: DN19128 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RICHARD N HUDON PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000013711708 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Male NPI: 1245336031 License: DN13094 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MICHELLE M MOFFA PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000012615054 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Female NPI: 1841277407 License: DN21740 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANDREW W NORTON PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000012615051 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Male NPI: 1861754020 License: DN19745 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RICHARD G PANKUCH PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000013712559 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Male NPI: 1467452847 License: HAD73 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SHEENA PATE PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000013711310 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Female NPI: 1215255880 License: DN18871 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
GARY M PIORKOWSKI PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000012615049 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Male NPI: 1699705434 License: DN21660 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
IRIS M SANTOS PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000013711272 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Female NPI: 1487875233 License: DN23084 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
AMY L SMITH PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000013706828 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Female NPI: 1831209899 License: HAD69 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
KANYARATANA VAN DYKE PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000013711902 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Female NPI: 1003122656 License: DN18668 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RHONDA E WILHITE PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000013711725 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Female NPI: 1952496341 License: HAD65 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SEAN T WILLIAMS PANCARE OF FLORIDA INC (850)-753-3246 Prov. No: 000013132016 12427 HIGHWAY 231 YOUNGSTOWN, FL 32466 Gender: Male NPI: 1306376512 License: DN22573 Board Certified: Not Reported E-mail: [email protected] Fax: (850)-753-3342 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BREVARD COUNTY
COCOA BEACH
12 GENERAL DENTISTS (Continued)
BREVARD COUNTY (Cont)
COCOA BEACH (Cont)
DAVID W BOERS ISLAND COSMETIC AND FAMILY DENTISTRY (321)-799-1090 Prov. No: A00000019294 41 N ORLANDO AVE COCOA BEACH, FL 32931 Gender: Male NPI: 1912025867 License: DN8821 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-799-1707 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MELBOURNE
Mohammed M Ahmed NEW IMAGE DENTISTRY LAKE WASHINGTON (321)-255-1991 Prov. No: 000012206360 3226 LAKE WASHINGTON RD STE 16 MELBOURNE, FL 32934 Gender: Male NPI: 1629452545 License: DN21406 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-752-0011 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Mohammed M Ahmed NEW IMAGE DENTISTRY SUNTREE (321)-434-4444 Prov. No: 000012209005 7827 N WICKHAM RD STE A MELBOURNE, FL 32940 Gender: Male NPI: 1629452545 License: DN21406 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-751-7162 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
TAUSEEF BHATTI VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012313684 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1598189656 License: DN20978 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ROBERT A BRODY GREAT EXPRESSIONS DENTAL CENTERS (321)-676-4080 Prov. No: 000012435053 205 PALM BAY RD NE STE 159 MELBOURNE, FL 32904 Gender: Male NPI: 1295830438 License: DN10219 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-626-5590 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JORDAN M CHERKINSKY VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012123694 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1184637787 License: DN11230 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
AMANDA L COBB VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012151397 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Female NPI: 1265870919 License: DN20119 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
EDUARDO C CORTES CONTRERAS VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012193471 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1417324161 License: DN21571 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ROBERT C CRIM VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012152609 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1215097159 License: DN8678 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RENATA F CUNHA DENTAL HEALTH GROUP PA (321)-676-4080 Prov. No: 000012105349 205 PALM BAY RD NE STE 159 MELBOURNE, FL 32904 Gender: Female NPI: 1366761389 License: DN19528 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-626-5590 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RIHAM K DIASTI COAST DENTAL-PALM BAY (321)-728-8053 Prov. No: 000013841204 145 PALM BAY RD NE STE 104 MELBOURNE, FL 32904 Gender: Female NPI: 1588775290 License: DN15768 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-728-7901 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KEVIN V DIEP VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000000276454 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1093875940 License: DN16316 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
13GENERAL DENTISTS (Continued)
BREVARD COUNTY (Cont)
MELBOURNE (Cont)
JILL C DOOLEY DENTAL HEALTH GROUP PA (321)-676-4080 Prov. No: 000005179457 205 PALM BAY RD NE STE 159 MELBOURNE, FL 32904 Gender: Female NPI: 1215285473 License: DN19934 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-626-5590 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
JOHN E FARAH ASPEN DENTAL (321)-213-6232 Prov. No: 000013889576 6431 LAKE ANDREW DR UNIT 105 MELBOURNE, FL 32940 Gender: Male NPI: 1578930707 License: DN21561 Board Certified: Not Reported E-mail: Not Reported Fax: (315)-438-4483 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KRISTINA M GALLIGAN VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012048260 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Female NPI: 1578970091 License: DN20737 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ROBERT M GELLER VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000011773719 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1669503280 License: DN18203 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JULES D GOLDSTEIN COAST DENTAL-MELBOURNE (321)-255-6303 Prov. No: 000013815027 7777 N WICKHAM RD STE 4 MELBOURNE, FL 32940 Gender: Male NPI: 1548393101 License: DN6809 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-255-6710 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MARIA E GROSSO WOOLDRIDGE VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012000872 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Female NPI: 1285768630 License: DN13240 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English;Spanish;French;Italian ;Portuguese Hospital Affiliation: *N/A
NANCY L HAVENS COAST DENTAL-MELBOURNE (321)-255-6303 Prov. No: 000012547537 7777 N WICKHAM RD STE 4 MELBOURNE, FL 32940 Gender: Female NPI: 1881705473 License: DN13472 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-255-6710 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MICHAEL D HOANG DENTISTS OF MELBOURNE (321)-420-4142 Prov. No: 000013822732 6455 N WICKHAM RD STE 103 MELBOURNE, FL 32940 Gender: Male NPI: 1952830580 License: DN22679 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-420-4142 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MICHAEL D HOANG VIERA MODERN DENTISTRY (321)-203-5251 Prov. No: 000013854175 2328 CITADEL WAY STE 101 MELBOURNE, FL 32940 Gender: Male NPI: 1952830580 License: DN22679 Board Certified: Not Reported E-mail: CREDENTIALING@PACDEN. COM Fax: (321)-319-4584 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MAXIMILLIAN O IURCOVICH GREAT EXPRESSIONS DENTAL CENTERS (321)-676-4080 Prov. No: 000001250365 205 PALM BAY RD NE STE 159 MELBOURNE, FL 32904 Gender: Female NPI: 1366776965 License: DN18839 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-626-5590 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SUSAN H JACQUOT VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012111112 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Female NPI: 1093936940 License: DN13135 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
CHARLES K JAMES ASPEN DENTAL (321)-213-6232 Prov. No: 000013761538 6431 LAKE ANDREW DR UNIT 105V MELBOURNE, FL 32940 Gender: Male NPI: 1780201160 License: DN25101 Board Certified: Not Reported E-mail: Not Reported Fax: (315)-438-4483 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
14 GENERAL DENTISTS (Continued)
MELBOURNE (Cont)
CHARBEL A KLAIB COAST DENTAL PA (321)-728-8053 Prov. No: 000012746278 145 PALM BAY RD NE STE 104 MELBOURNE, FL 32904 Gender: Male NPI: 1134390396 License: DN18128 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-728-7901 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ELEINE LAFFITA AGUILERA BRIGHT NOW DENTAL - MELBOURNE (321)-253-0606 Prov. No: 000013768177 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Female NPI: 1811508922 License: DN25375 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
VALERIE LEMUS DENTISTS OF MELBOURNE PA (321)-420-4142 Prov. No: 000012933392 6455 N WICKHAM RD STE 300 MELBOURNE, FL 32940 Gender: Female NPI: 1154807394 License: DN23684 Board Certified: Not Reported E-mail: CREDENTIALING@PACDEN. COM Fax: (321)-420-4142 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
VALERIE LEMUS VIERA MODERN DENTISTRY (321)-203-5251 Prov. No: 000012933394 2328 CITADEL WAY STE 101 MELBOURNE, FL 32940 Gender: Female NPI: 1154807394 License: DN23684 Board Certified: Not Reported E-mail: CREDENTIALING@PACDEN. COM Fax: (321)-319-4584 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANTONIO MACEDA-JOHNSON VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012200262 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1386015576 License: DN21355 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BILAL MANZUR PROFESSIONAL DENTAL ALLIANCE OF SUNTREE PLLC (321)-434-4444 Prov. No: 000000686916 7827 N WICKHAM RD STE A MELBOURNE, FL 32940 Gender: Male NPI: 1104155902 License: DN18865 Board Certified: Not Reported E-mail: Not Reported Fax: (844)-399-0385 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BILAL MANZUR PROFESSIONAL DENTAL ALLIANCE OF LAKE WASHINGTON PL (321)-255-1991 Prov. No: 000000694829 3226 LAKE WASHINGTON RD STE 16 MELBOURNE, FL 32934 Gender: Male NPI: 1104155902 License: DN18865 Board Certified: Not Reported E-mail: HOWARDL@NADENTALGRO UP.COM Fax: (321)-752-0011 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JEAN MARY R MARIUS ASPEN DENTAL (321)-213-6232 Prov. No: 000013614094 6431 LAKE ANDREW DR UNIT 105 MELBOURNE, FL 32940 Gender: Male NPI: 1295966380 License: DN20443 Board Certified: Not Reported E-mail: Not Reported Fax: (315)-438-4483 Accepts New Patients: Y Language: English;French Hospital Affiliation: *N/A
HENRY L MASON III VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012070730 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1588725816 License: DN8914 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOHN A MASON COAST DENTAL-PALM BAY (321)-728-8053 Prov. No: 000013874891 145 PALM BAY RD NE STE 104 MELBOURNE, FL 32904 Gender: Male NPI: 1851370456 License: DN12116 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-728-7901 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KATIE L MCCANN LEE VIERA MODERN DENTISTRY (321)-203-5251 Prov. No: 000012657937 2328 CITADEL WAY STE 101 MELBOURNE, FL 32940 Gender: Female NPI: 1447571245 License: DN21364 Board Certified: Not Reported E-mail: CREDENTIALING@PACDEN. COM Fax: (321)-319-4584 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KATIE L MCCANN LEE DENTISTS OF MELBOURNE PA (321)-420-4142 Prov. No: 000012866504 6455 N WICKHAM RD STE 300 MELBOURNE, FL 32940 Gender: Female NPI: 1447571245 License: DN21364 Board Certified: Not Reported E-mail: CREDENTIALING@PACDEN. COM Fax: (321)-420-4142 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
15GENERAL DENTISTS (Continued)
BREVARD COUNTY (Cont)
MELBOURNE (Cont)
MATTHEW J MILLER VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012679256 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1093964579 License: DN22165 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MARISOL MORA LONDONO ASPEN DENTAL (321)-213-6232 Prov. No: 000013893027 6431 LAKE ANDREW DR UNIT 105 MELBOURNE, FL 32940 Gender: Female NPI: 1710414354 License: DN24344 Board Certified: Not Reported E-mail: Not Reported Fax: (315)-438-4483 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RONALD J MORALES DENTAL HEALTH GROUP PA (321)-676-4080 Prov. No: 000012105345 205 PALM BAY RD NE STE 159 MELBOURNE, FL 32904 Gender: Male NPI: 1215156260 License: DN13551 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-626-5590 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
NUMA F MUNOZ DENTAL HEALTH GROUP PA (321)-676-4080 Prov. No: 000012683703 205 PALM BAY RD NE STE 159 MELBOURNE, FL 32904 Gender: Male NPI: 1427115310 License: DN20523 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-626-5590 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
CHAMPAKA NAGARAJU VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012138246 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Female NPI: 1659769891 License: DN21014 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LICET Y ORDEHI VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012562794 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Female NPI: 1942284393 License: DN17905 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RAMON F ORTIZ COAST DENTAL-MELBOURNE (321)-255-6303 Prov. No: 000013859053 7777 N WICKHAM RD STE 4 MELBOURNE, FL 32940 Gender: Male NPI: 1962424739 License: DN7873 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-255-6710 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MINH B PHAM VIERA MODERN DENTISTRY (321)-203-5251 Prov. No: 000012718399 2328 CITADEL WAY STE 101 MELBOURNE, FL 32940 Gender: Male NPI: 1922193754 License: DN21777 Board Certified: Not Reported E-mail: CREDENTIALING@PACDEN. COM Fax: (321)-319-4584 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MINH B PHAM DENTISTS OF MELBOURNE PA (321)-420-4142 Prov. No: 000012842656 6455 N WICKHAM RD STE 300 MELBOURNE, FL 32940 Gender: Male NPI: 1922193754 License: DN21777 Board Certified: Not Reported E-mail: CREDENTIALING@PACDEN. COM Fax: (321)-420-4142 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANA M PUEBLA COAST DENTAL-PALM BAY (321)-728-8053 Prov. No: 000013859265 145 PALM BAY RD NE STE 104 MELBOURNE, FL 32904 Gender: Female NPI: 1679158141 License: DN14359 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-728-7901 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANTONIO E RABASSA COAST DENTAL-PALM BAY (321)-728-8053 Prov. No: 000013762503 145 PALM BAY RD NE STE 104 MELBOURNE, FL 32904 Gender: Male NPI: 1164032504 License: DN25302 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-728-7901 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ISHWER P REHSI COAST DENTAL-PALM BAY (321)-728-8053 Prov. No: 000013874898 145 PALM BAY RD NE STE 104 MELBOURNE, FL 32904 Gender: Male NPI: 1972719961 License: DN15061 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-728-7901 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
16 GENERAL DENTISTS (Continued)
MELBOURNE (Cont)
ANGEL M RIVERA-CASTRO BRIGHT NOW DENTAL - MELBOURNE (321)-253-0606 Prov. No: 000012933563 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1922037522 License: DN18238 Board Certified: N E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SHANNON N ROONEY BRIGHT NOW DENTAL - MELBOURNE (321)-253-0606 Prov. No: 000013371577 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Female NPI: 1972082972 License: DN23790 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
DANIEL ROSA SERRANO COAST DENTAL-PALM BAY (321)-728-8053 Prov. No: 000013754372 145 PALM BAY RD NE STE 104 MELBOURNE, FL 32904 Gender: Male NPI: 1710088893 License: DN17014 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-728-7901 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ALEJANDRO SAN JORGE DENTAL HEALTH GROUP PA (321)-676-4080 Prov. No: 000012965926 205 PALM BAY RD NE STE 159 MELBOURNE, FL 32904 Gender: Male NPI: 1518234780 License: DN10618 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-626-5590 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
EDWARD L SCHWARTZ DENTAL HEALTH GROUP PA (321)-676-4080 Prov. No: 000012031760 205 PALM BAY RD NE STE 159 MELBOURNE, FL 32904 Gender: Male NPI: 1851310544 License: DN5776 Board Certified: N E-mail: Not Reported Fax: (321)-626-5590 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ETHAN L SILVERMAN NEW IMAGE DENTISTRY SUNTREE (321)-434-4444 Prov. No: 000012991047 7827 N WICKHAM RD STE A MELBOURNE, FL 32940 Gender: Male NPI: 1548748999 License: DN23738 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-751-7162 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ETHAN L SILVERMAN PROFESSIONAL DENTAL ALLIANCE OF WEST MELBOURNE PLL (321)-956-5664 Prov. No: 000013040787 2025 W NEW HAVEN AVE MELBOURNE, FL 32904 Gender: Male NPI: 1548748999 License: DN23738 Board Certified: Not Reported E-mail: [email protected] OM Fax: (844)-399-0385 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
VERNON S SMITH VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000010401251 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1881942118 License: DN19861 Board Certified: N E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOSEPH H SPINGARN DENTALAND OF MELBOURNE (321)-676-4080 Prov. No: 000010903176 205 PALM BAY RD NE STE 159 MELBOURNE, FL 32904 Gender: Male NPI: 1508886136 License: DN5044 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-626-5590 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LEAH M STAMLER COAST DENTAL-PALM BAY (321)-728-8053 Prov. No: 000013814987 145 PALM BAY RD NE STE 104 MELBOURNE, FL 32904 Gender: Female NPI: 1821284845 License: DN23952 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-728-7901 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
STEVEN A SUTNICK DENTAL HEALTH GROUP PA (321)-676-4080 Prov. No: 000010213127 205 PALM BAY RD NE STE 159 MELBOURNE, FL 32904 Gender: Male NPI: 1922447374 License: DN10650 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-626-5590 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
REINIER TEJEDA GONZALEZ ASPEN DENTAL (321)-213-6232 Prov. No: 000013620043 6431 LAKE ANDREW DR UNIT 105 MELBOURNE, FL 32940 Gender: Male NPI: 1447786462 License: DN24324 Board Certified: Not Reported E-mail: Not Reported Fax: (315)-438-4483 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
17GENERAL DENTISTS (Continued)
BREVARD COUNTY (Cont)
MELBOURNE (Cont)
MARIA E THOMAS VALLEY FORGE DENTAL OF FL PA (321)-253-0606 Prov. No: 000012248917 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Female NPI: 1902281215 License: DN21398 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KATERINA TOPOL VIERA MODERN DENTISTRY PA (321)-203-5251 Prov. No: 000013737681 2328 CITADEL WAY STE 101 MELBOURNE, FL 32940 Gender: Female NPI: 1851494926 License: DN24634 Board Certified: Not Reported E-mail: CREDENTIALING@PACDEN. COM Fax: (321)-319-4584 Accepts New Patients: Y Language: English;Russian Hospital Affiliation: *N/A
KATERINA TOPOL DENTISTS OF MELBOURNE PA (321)-420-4142 Prov. No: 000013737759 6455 N WICKHAM RD STE 300 MELBOURNE, FL 32940 Gender: Female NPI: 1851494926 License: DN24634 Board Certified: Not Reported E-mail: CREDENTIALING@PACDEN. COM Fax: (321)-420-4142 Accepts New Patients: Y Language: English;Russian Hospital Affiliation: *N/A
ALFREDO E TORRAS CEBALLOS BRIGHT NOW DENTAL - MELBOURNE (321)-253-0606 Prov. No: 000012748844 1770 N WICKHAM RD MELBOURNE, FL 32935 Gender: Male NPI: 1922413046 License: DN22256 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-253-9797 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
KINJAL S VORA COAST DENTAL-PALM BAY (321)-728-8053 Prov. No: 000013859272 145 PALM BAY RD NE STE 104 MELBOURNE, FL 32904 Gender: Female NPI: 1932652302 License: DN25094 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-728-7901 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
NGA T VU COAST DENTAL PA (321)-728-8053 Prov. No: 000012746447 145 PALM BAY RD NE STE 104 MELBOURNE, FL 32904 Gender: Female NPI: 1598106502 License: DN20235 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-728-7901 Accepts New Patients: Y Language: English;Vietnamese Hospital Affiliation: *N/A
BRUCE D WATERMAN COAST DENTAL-MELBOURNE (321)-255-6303 Prov. No: 000013859224 7777 N WICKHAM RD STE 4 MELBOURNE, FL 32940 Gender: Male NPI: 1144341595 License: DN9391 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-255-6710 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BRUCE D WATERMAN COAST DENTAL-PALM BAY (321)-728-8053 Prov. No: 000013859263 145 PALM BAY RD NE STE 104 MELBOURNE, FL 32904 Gender: Male NPI: 1144341595 License: DN9391 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-728-7901 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MATEUSZ T WITELUS VIERA MODERN DENTISTRY (321)-203-5251 Prov. No: 000012717777 2328 CITADEL WAY STE 101 MELBOURNE, FL 32940 Gender: Male NPI: 1710406236 License: DN22993 Board Certified: Not Reported E-mail: CREDENTIALING@PACDEN. COM Fax: (321)-319-4584 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ARNOLD ZUSSELMAN DENTAL HEALTH GROUP PA (321)-676-4080 Prov. No: 000012105348 205 PALM BAY RD NE STE 159 MELBOURNE, FL 32904 Gender: Male NPI: 1134347172 License: DN13888 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-626-5590 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MERRITT ISLAND
MICHAEL L CROVATT COAST DENTAL-MERRITT ISLAND (321)-449-0833 Prov. No: 000013841318 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Male NPI: 1811056583 License: DN9579 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RIHAM K DIASTI COAST DENTAL-MERRITT ISLAND (321)-449-0833 Prov. No: 000013841319 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Female NPI: 1588775290 License: DN15768 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
18 GENERAL DENTISTS (Continued)
JOSE F EDUARDO COAST DENTAL-MERRITT ISLAND (321)-449-0833 Prov. No: 000012252430 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Male NPI: 1033105986 License: DN15816 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOHN E FARAH ASPEN DENTAL (321)-453-8882 Prov. No: 000013891045 800 E MERRITT ISLAND CSWY STE 105 MERRITT ISLAND, FL 32952 Gender: Male NPI: 1578930707 License: DN21561 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-453-8667 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JULES D GOLDSTEIN COAST DENTAL-MERRITT ISLAND (321)-449-0833 Prov. No: 000013841322 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Male NPI: 1548393101 License: DN6809 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
NANCY L HAVENS COAST DENTAL-MERRITT ISLAND (321)-449-0833 Prov. No: 000013713451 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Female NPI: 1881705473 License: DN13472 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
CHARLES K JAMES ASPEN DENTAL (321)-453-8882 Prov. No: 000013761495 800 E MERRITT ISLAND CSWY STE 105 MERRITT ISLAND, FL 32952 Gender: Male NPI: 1780201160 License: DN25101 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-453-8667 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
CHARBEL A KLAIB COAST DENTAL PA (321)-449-0833 Prov. No: 000012106263 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Male NPI: 1134390396 License: DN18128 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JEAN MARY R MARIUS ASPEN DENTAL (321)-453-8882 Prov. No: 000012044777 800 E MERRITT ISLAND CSWY STE 105 MERRITT ISLAND, FL 32952 Gender: Male NPI: 1295966380 License: DN20443 Board Certified: Not Reported E-mail: KVANCAMP@ASPENDENTAL. COM Fax: (321)-453-8667 Accepts New Patients: Y Language: English;French Hospital Affiliation: *N/A
JOHN A MASON COAST DENTAL-MERRITT ISLAND (321)-449-0833 Prov. No: 000013874944 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Male NPI: 1851370456 License: DN12116 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MARISOL MORA LONDONO ASPEN DENTAL (321)-453-8882 Prov. No: 000013892555 800 E MERRITT ISLAND CSWY STE 105 MERRITT ISLAND, FL 32952 Gender: Female NPI: 1710414354 License: DN24344 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-453-8667 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANA M PUEBLA COAST DENTAL-MERRITT ISLAND (321)-449-0833 Prov. No: 000013859330 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Female NPI: 1679158141 License: DN14359 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ISHWER P REHSI COAST DENTAL-MERRITT ISLAND (321)-449-0833 Prov. No: 000013874943 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Male NPI: 1972719961 License: DN15061 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LEAH M STAMLER COAST DENTAL-MERRITT ISLAND (321)-449-0833 Prov. No: 000013844620 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Female NPI: 1821284845 License: DN23952 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
19GENERAL DENTISTS (Continued)
BREVARD COUNTY (Cont)
MERRITT ISLAND (Cont)
REINIER TEJEDA GONZALEZ ASPEN DENTAL (321)-453-8882 Prov. No: 000013620030 800 E MERRITT ISLAND CSWY STE 105 MERRITT ISLAND, FL 32952 Gender: Male NPI: 1447786462 License: DN24324 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-453-8667 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KINJAL S VORA COAST DENTAL-MERRITT ISLAND (321)-449-0833 Prov. No: 000013859294 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Female NPI: 1932652302 License: DN25094 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BRUCE D WATERMAN COAST DENTAL-MERRITT ISLAND (321)-449-0833 Prov. No: 000013859355 229 CROCKETT BLVD MERRITT ISLAND, FL 32953 Gender: Male NPI: 1144341595 License: DN9391 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-449-0832 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
PALM BAY
Mohammed M Ahmed NEW IMAGE DENTISTRY BAYSIDE LAKES (321)-984-0044 Prov. No: 000012206359 3590 BAYSIDE LAKES BLVD SE STE 1 PALM BAY, FL 32909 Gender: Male NPI: 1629452545 License: DN21406 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-984-0707 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Mohammed M Ahmed PROFESSIONAL DENTAL ALLIANCE OF PALM BAY PAL BAY R (321)-724-5100 Prov. No: 000013674707 1890 PALM BAY RD NE STE 2 PALM BAY, FL 32905 Gender: Male NPI: 1629452545 License: DN21406 Board Certified: Not Reported E-mail: Not Reported Fax: Not Reported Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Mohammed M Ahmed PALM BAY DENTAL CENTER (321)-725-5512 Prov. No: 000013822890 1764 PALM BAY RD NE PALM BAY, FL 32905 Gender: Male NPI: 1629452545 License: DN21406 Board Certified: Not Reported E-mail: [email protected] RG Fax: (321)-725-5592 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SAMUEL B ARTLEY SAMUEL B ARTLEY DMD (321)-727-0011 Prov. No: 000000362212 3265 BAYSIDE LAKES BLVD SE PALM BAY, FL 32909 Gender: Male NPI: 1578636551 License: DN15346 Board Certified: Not Reported E-mail: [email protected] M Fax: (321)-727-0014 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JORDAN M CHERKINSKY VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012123692 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Male NPI: 1184637787 License: DN11230 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
AMANDA L COBB VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012156925 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Female NPI: 1265870919 License: DN20119 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RYAN COLLINS VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000009484756 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Male NPI: 1912218587 License: DN19069 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
EDUARDO C CORTES CONTRERAS VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012193472 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Male NPI: 1417324161 License: DN21571 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ROBERT C CRIM VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012129062 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Male NPI: 1215097159 License: DN8678 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
20 GENERAL DENTISTS (Continued)
BREVARD COUNTY (Cont)
PALM BAY (Cont)
ANDREA E CUNNINGHAM BOLD IMAGE DENTISTRY (321)-722-2688 Prov. No: 000000357149 620 MALABAR RD SE STE 3 PALM BAY, FL 32907 Gender: Female NPI: 1326233214 License: DN15547 Board Certified: Not Reported E-mail: BOLDIMAGEDENTIST@BELL SOUTH.NET Fax: (321)-722-2433 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KEVIN V DIEP VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012047612 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Male NPI: 1093875940 License: DN16316 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
NOUR ELKHATIB NEW IMAGE DENTISTRY (321)-724-5100 Prov. No: 000013815077 1890 PALM BAY RD NE STE 2 PALM BAY, FL 32905 Gender: Male NPI: 1790301752 License: DN25032 Board Certified: Not Reported E-mail: MARLOWA@NADENTALGROU P.COM Fax: Not Reported Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KRISTINA M GALLIGAN VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012048200 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Female NPI: 1578970091 License: DN20737 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MARIA E GROSSO WOOLDRIDGE VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000011996763 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Female NPI: 1285768630 License: DN13240 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English;Spanish;French;Italian ;Portuguese Hospital Affiliation: *N/A
SUSAN H JACQUOT VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012110990 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Female NPI: 1093936940 License: DN13135 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
GLADYSBEL JIMENEZ PROFESSIONAL DENTAL ALLIANCE OF PALM BAY PAL BAY R (321)-724-5100 Prov. No: 000013677366 1890 PALM BAY RD NE STE 2 PALM BAY, FL 32905 Gender: Female NPI: 1700436615 License: DN24538 Board Certified: Not Reported E-mail: Not Reported Fax: Not Reported Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ELEINE LAFFITA AGUILERA BRIGHT NOW DENTAL - PALM BAY (321)-729-6060 Prov. No: 000013768157 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Female NPI: 1811508922 License: DN25375 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANTONIO MACEDA-JOHNSON VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012200260 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Male NPI: 1386015576 License: DN21355 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BILAL MANZUR PROFESSIONAL DENTAL ALLIANCE OF MINTON PLLC (321)-725-9595 Prov. No: 000013371277 5132 MINTON RD NW STE 1 PALM BAY, FL 32907 Gender: Male NPI: 1104155902 License: DN18865 Board Certified: Not Reported E-mail: Not Reported Fax: (844)-399-0385 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
HENRY L MASON III VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012070865 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Male NPI: 1588725816 License: DN8914 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MATTHEW J MILLER VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012679297 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Male NPI: 1093964579 License: DN22165 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
21GENERAL DENTISTS (Continued)
BREVARD COUNTY (Cont)
PALM BAY (Cont)
HIRAL M MODI PROFESSIONAL DENTAL ALLIANCE OF PALM BAY PAL BAY R (321)-724-5100 Prov. No: 000013372024 1890 PALM BAY RD NE STE 2 PALM BAY, FL 32905 Gender: Female NPI: 1043573397 License: DN23846 Board Certified: Not Reported E-mail: MARLOWA@NADENTALGROU P.COM Fax: Not Reported Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
CHAMPAKA NAGARAJU VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012144747 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Female NPI: 1659769891 License: DN21014 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LICET Y ORDEHI VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012562288 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Female NPI: 1942284393 License: DN17905 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANGEL M RIVERA-CASTRO BRIGHT NOW DENTAL - PALM BAY (321)-729-6060 Prov. No: 000012933565 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Male NPI: 1922037522 License: DN18238 Board Certified: N E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SHANNON N ROONEY BRIGHT NOW DENTAL - PALM BAY (321)-729-6060 Prov. No: 000013371572 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Female NPI: 1972082972 License: DN23790 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
DIORGIS SARMIENTO BRIGHT NOW DENTAL - PALM BAY (321)-729-6060 Prov. No: 000013499339 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Male NPI: 1841859634 License: DN24204 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ETHAN L SILVERMAN PROFESSIONAL DENTAL ALLIANCE OF PALM BAY (321)-725-5512 Prov. No: 000012990981 1764 PALM BAY RD NE PALM BAY, FL 32905 Gender: Male NPI: 1548748999 License: DN23738 Board Certified: Not Reported E-mail: [email protected] OM Fax: (321)-725-5592 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ETHAN L SILVERMAN NEW IMAGE DENTISTRY (321)-724-5100 Prov. No: 000013069080 1890 PALM BAY RD NE STE 2 PALM BAY, FL 32905 Gender: Male NPI: 1548748999 License: DN23738 Board Certified: Not Reported E-mail: MARLOWA@NADENTALGROU P.COM Fax: Not Reported Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MARIA E THOMAS VALLEY FORGE DENTAL OF FLORIDA PA (321)-729-6060 Prov. No: 000012248983 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Female NPI: 1902281215 License: DN21398 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ALFREDO E TORRAS CEBALLOS BRIGHT NOW DENTAL - PALM BAY (321)-729-6060 Prov. No: 000012748846 1051 PORT MALABAR BLVD NE PALM BAY, FL 32905 Gender: Male NPI: 1922413046 License: DN22256 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-722-2368 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
ROCKLEDGE
AKMAL AHMED ROCKLEDGE DENTAL PA (321)-632-1820 Prov. No: 000012185778 1950 US HIGHWAY 1 STE 207 ROCKLEDGE, FL 32955 Gender: Male NPI: 1093121139 License: DN21437 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-632-9439 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
DON A GALLO ROCKLEDGE DENTAL PA (321)-632-1820 Prov. No: 000012199114 1950 US HIGHWAY 1 STE 207 ROCKLEDGE, FL 32955 Gender: Male NPI: 1831109487 License: DN20050 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-632-9439 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
22 GENERAL DENTISTS (Continued)
ROCKLEDGE (Cont)
VANESA M GRULLON MARIANNA ZADOV PA (321)-632-1700 Prov. No: 000013882112 1027 PATHFINDER WAY STE 100 ROCKLEDGE, FL 32955 Gender: Female NPI: 1649889270 License: DN25023 Board Certified: Not Reported E-mail: Not Reported Fax: (561)-423-6404 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
NESTOR E GUZMAN ROCKLEDGE DENTAL PA (321)-632-1820 Prov. No: 000012719446 1950 US HIGHWAY 1 STE 207 ROCKLEDGE, FL 32955 Gender: Male NPI: 1558477919 License: DN16737 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-632-9439 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SVITLANA KOVAL MARIANNA ZADOV PA (321)-632-1700 Prov. No: 000013864636 1027 PATHFINDER WAY STE 100 ROCKLEDGE, FL 32955 Gender: Female NPI: 1740888486 License: DN25513 Board Certified: Not Reported E-mail: Not Reported Fax: (561)-423-6404 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MICHELLE P NGUYEN MARIANNA ZADOV PA (321)-632-1700 Prov. No: 000013864637 1027 PATHFINDER WAY STE 100 ROCKLEDGE, FL 32955 Gender: Female NPI: 1033603733 License: DN23454 Board Certified: Not Reported E-mail: Not Reported Fax: (561)-423-6404 Accepts New Patients: Y Language: English;Spanish;Russian Hospital Affiliation: *N/A
ALFREDO E TORRAS CEBALLOS ROCKLEDGE DENTAL PA (321)-632-1820 Prov. No: 000012458484 1950 US HIGHWAY 1 STE 207 ROCKLEDGE, FL 32955 Gender: Male NPI: 1922413046 License: DN22256 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-632-9439 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
MARIANNA ZADOV PANZEK DENTISTRY (321)-632-1700 Prov. No: 000013786608 1027 PATHFINDER WAY STE 100 ROCKLEDGE, FL 32955 Gender: Female NPI: 1104903301 License: DN16481 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-632-2122 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SATELLITE BEACH
KRISTINA M GALLIGAN VALLEY FORGE DENTAL OF FLORIDA PA (321)-773-6666 Prov. No: 000012048255 1324 HIGHWAY A1A SATELLITE BEACH, FL 32937 Gender: Female NPI: 1578970091 License: DN20737 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-777-8452 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ELEINE LAFFITA AGUILERA BRIGHT NOW DENTAL - SATELLITE BEACH (321)-773-6666 Prov. No: 000013768144 1324 HIGHWAY A1A SATELLITE BEACH, FL 32937 Gender: Female NPI: 1811508922 License: DN25375 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-777-8452 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANGEL M RIVERA-CASTRO BRIGHT NOW DENTAL - SATELLITE BEACH (321)-773-6666 Prov. No: 000012933566 1324 HIGHWAY A1A SATELLITE BEACH, FL 32937 Gender: Male NPI: 1922037522 License: DN18238 Board Certified: N E-mail: Not Reported Fax: (321)-777-8452 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SHANNON N ROONEY BRIGHT NOW DENTAL - SATELLITE BEACH (321)-773-6666 Prov. No: 000013371573 1324 HIGHWAY A1A SATELLITE BEACH, FL 32937 Gender: Female NPI: 1972082972 License: DN23790 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-777-8452 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
DIORGIS SARMIENTO BRIGHT NOW DENTAL - SATELLITE BEACH (321)-773-6666 Prov. No: 000013478509 1324 HIGHWAY A1A SATELLITE BEACH, FL 32937 Gender: Male NPI: 1841859634 License: DN24204 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-777-8452 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ALFREDO E TORRAS CEBALLOS BRIGHT NOW DENTAL - SATELLITE BEACH (321)-773-6666 Prov. No: 000012748758 1324 HIGHWAY A1A SATELLITE BEACH, FL 32937 Gender: Male NPI: 1922413046 License: DN22256 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-777-8452 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
TITUSVILLE
23GENERAL DENTISTS (Continued)
BREVARD COUNTY (Cont)
SHADY S ASHAMALLA COAST DENTAL-TITUSVILLE (321)-269-2700 Prov. No: 000013754368 3245 GARDEN ST TITUSVILLE, FL 32796 Gender: Male NPI: 1427428374 License: DN24595 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-269-6045 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MICHAEL L CROVATT COAST DENTAL-SOUTH TITUSVILLE (321)-268-3300 Prov. No: 000013841205 4400 S WASHINGTON AVE TITUSVILLE, FL 32780 Gender: Male NPI: 1811056583 License: DN9579 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-268-3552 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RIHAM K DIASTI COAST DENTAL-TITUSVILLE (321)-269-2700 Prov. No: 000013841141 3245 GARDEN ST TITUSVILLE, FL 32796 Gender: Female NPI: 1588775290 License: DN15768 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-269-6045 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
RIHAM K DIASTI COAST DENTAL-SOUTH TITUSVILLE (321)-268-3300 Prov. No: 000013841211 4400 S WASHINGTON AVE TITUSVILLE, FL 32780 Gender: Female NPI: 1588775290 License: DN15768 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-268-3552 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOHN E FARAH ASPEN DENTAL (321)-289-3228 Prov. No: 000013891905 3150 CHENEY HWY TITUSVILLE, FL 32780 Gender: Male NPI: 1578930707 License: DN21561 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-289-3229 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JULES D GOLDSTEIN COAST DENTAL-SOUTH TITUSVILLE (321)-268-3300 Prov. No: 000013841202 4400 S WASHINGTON AVE TITUSVILLE, FL 32780 Gender: Male NPI: 1548393101 License: DN6809 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-268-3552 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LONG N HOANG COAST FLORIDA PA (321)-269-2700 Prov. No: 000001164902 3245 GARDEN ST TITUSVILLE, FL 32796 Gender: Male NPI: 1245463348 License: DN18810 Board Certified: Not Reported E-mail: Not Reported Fax: Not Reported Accepts New Patients: Y Language: English;Spanish;Korean Hospital Affiliation: *N/A
CHARBEL A KLAIB COAST DENTAL PA (321)-268-3300 Prov. No: 000012106638 4400 S WASHINGTON AVE TITUSVILLE, FL 32780 Gender: Male NPI: 1134390396 License: DN18128 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-268-3552 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
CHARBEL A KLAIB COAST FLORIDA PA (321)-269-2700 Prov. No: 000012106649 3245 GARDEN ST TITUSVILLE, FL 32796 Gender: Male NPI: 1134390396 License: DN18128 Board Certified: Not Reported E-mail: Not Reported Fax: Not Reported Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
OLGA LUQUE-MAIZ COAST DENTAL-SOUTH TITUSVILLE (321)-268-3300 Prov. No: 000012889611 4400 S WASHINGTON AVE TITUSVILLE, FL 32780 Gender: Female NPI: 1629189147 License: DN12920 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-268-3552 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOHN A MASON COAST DENTAL-TITUSVILLE (321)-269-2700 Prov. No: 000013874924 3245 GARDEN ST TITUSVILLE, FL 32796 Gender: Male NPI: 1851370456 License: DN12116 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-269-6045 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOHN A MASON COAST DENTAL PA (321)-268-3300 Prov. No: 000013875249 4400 S WASHINGTON AVE TITUSVILLE, FL 32780 Gender: Male NPI: 1851370456 License: DN12116 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-268-3552 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
24 GENERAL DENTISTS (Continued)
TITUSVILLE (Cont)
MARISOL MORA LONDONO ASPEN DENTAL (321)-289-3228 Prov. No: 000013893604 3150 CHENEY HWY TITUSVILLE, FL 32780 Gender: Female NPI: 1710414354 License: DN24344 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-289-3229 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANA M PUEBLA COAST DENTAL-SOUTH TITUSVILLE (321)-268-3300 Prov. No: 000013858999 4400 S WASHINGTON AVE TITUSVILLE, FL 32780 Gender: Female NPI: 1679158141 License: DN14359 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-268-3552 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANA M PUEBLA COAST DENTAL-TITUSVILLE (321)-269-2700 Prov. No: 000013859324 3245 GARDEN ST TITUSVILLE, FL 32796 Gender: Female NPI: 1679158141 License: DN14359 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-269-6045 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ISHWER P REHSI COAST DENTAL-TITUSVILLE (321)-269-2700 Prov. No: 000013874964 3245 GARDEN ST TITUSVILLE, FL 32796 Gender: Male NPI: 1972719961 License: DN15061 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-269-6045 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ISHWER P REHSI COAST DENTAL PA (321)-268-3300 Prov. No: 000013875260 4400 S WASHINGTON AVE TITUSVILLE, FL 32780 Gender: Male NPI: 1972719961 License: DN15061 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-268-3552 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LEAH M STAMLER COAST DENTAL-SOUTH TITUSVILLE (321)-268-3300 Prov. No: 000013844577 4400 S WASHINGTON AVE TITUSVILLE, FL 32780 Gender: Female NPI: 1821284845 License: DN23952 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-268-3552 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
LEAH M STAMLER COAST DENTAL-TITUSVILLE (321)-269-2700 Prov. No: 000013844622 3245 GARDEN ST TITUSVILLE, FL 32796 Gender: Female NPI: 1821284845 License: DN23952 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-269-6045 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ALFREDO E TORRAS CEBALLOS COAST FLORIDA PA (321)-269-2700 Prov. No: 000012785136 3245 GARDEN ST TITUSVILLE, FL 32796 Gender: Male NPI: 1922413046 License: DN22256 Board Certified: Not Reported E-mail: Not Reported Fax: Not Reported Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
KINJAL S VORA COAST DENTAL-SOUTH TITUSVILLE (321)-268-3300 Prov. No: 000013859000 4400 S WASHINGTON AVE TITUSVILLE, FL 32780 Gender: Female NPI: 1932652302 License: DN25094 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-268-3552 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
KINJAL S VORA COAST DENTAL-TITUSVILLE (321)-269-2700 Prov. No: 000013859332 3245 GARDEN ST TITUSVILLE, FL 32796 Gender: Female NPI: 1932652302 License: DN25094 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-269-6045 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BRUCE D WATERMAN COAST DENTAL-SOUTH TITUSVILLE (321)-268-3300 Prov. No: 000013858990 4400 S WASHINGTON AVE TITUSVILLE, FL 32780 Gender: Male NPI: 1144341595 License: DN9391 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-268-3552 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BRUCE D WATERMAN COAST DENTAL-TITUSVILLE (321)-269-2700 Prov. No: 000013859307 3245 GARDEN ST TITUSVILLE, FL 32796 Gender: Male NPI: 1144341595 License: DN9391 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-269-6045 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
W MELBOURNE
25GENERAL DENTISTS (Continued)
BREVARD COUNTY (Cont)
W MELBOURNE (Cont)
SAMUEL B ARTLEY CAPE SIDE DENTAL PA (321)-733-4711 Prov. No: 000000095787 4545 DURHAM DR W MELBOURNE, FL 32904 Gender: Male NPI: 1578636551 License: DN15346 Board Certified: Not Reported E-mail: BILLING@CAPESIDEDENTAL. COM Fax: (321)-733-8828 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
WEST MELBOURNE
YARELIS CARTAGENA HEALING SMILES PLLC (321)-482-5220 Prov. No: 000012129742 249 PALM BAY RD NE WEST MELBOURNE, FL 32904 Gender: Female NPI: 1205077013 License: DN18885 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-953-3617 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOHN E FARAH ASPEN DENTAL (321)-482-5220 Prov. No: 000013891038 249 PALM BAY RD NE WEST MELBOURNE, FL 32904 Gender: Male NPI: 1578930707 License: DN21561 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-953-3617 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
CHARLES K JAMES ASPEN DENTAL (321)-482-5220 Prov. No: 000013761499 249 PALM BAY RD NE WEST MELBOURNE, FL 32904 Gender: Male NPI: 1780201160 License: DN25101 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-953-3617 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JEAN MARY R MARIUS ASPEN DENTAL (321)-482-5220 Prov. No: 000012044742 249 PALM BAY RD NE WEST MELBOURNE, FL 32904 Gender: Male NPI: 1295966380 License: DN20443 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-953-3617 Accepts New Patients: Y Language: English;French Hospital Affiliation: *N/A
MARISOL MORA LONDONO ASPEN DENTAL (321)-482-5220 Prov. No: 000013893804 249 PALM BAY RD NE WEST MELBOURNE, FL 32904 Gender: Female NPI: 1710414354 License: DN24344 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-953-3617 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
REINIER TEJEDA GONZALEZ ASPEN DENTAL (321)-482-5220 Prov. No: 000013620036 249 PALM BAY RD NE WEST MELBOURNE, FL 32904 Gender: Male NPI: 1447786462 License: DN24324 Board Certified: Not Reported E-mail: Not Reported Fax: (321)-953-3617 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
BROWARD COUNTY
COCONUT CREEK
SANA H ABDEL-JABBAR SAGE DENTAL OF COCONUT CREEK PLLC (954)-571-7123 Prov. No: 000012457952 5463 LYONS RD STE C COCONUT CREEK, FL 33073 Gender: Female NPI: 1801248372 License: DN21987 Board Certified: Not Reported E-mail: Not Reported Fax: (954)-368-0157 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
SCOTT J AZARI SAGE DENTAL OF COCONUT CREEK PLLC (954)-571-7123 Prov. No: 000000435051 5463 LYONS RD STE C COCONUT CREEK, FL 33073 Gender: Male NPI: 1336157361 License: DN15766 Board Certified: Not Reported E-mail: Not Reported Fax: (954)-368-0157 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
JOSHUA A BOCKIAN SAGE DENTAL OF COCONUT CREEK PLLC (954)-571-7123 Prov. No: 000003920094 5463 LYONS RD STE C COCONUT CREEK, FL 33073 Gender: Male NPI: 1235460460 License: DN6296 Board Certified: Not Reported E-mail: Not Reported Fax: (954)-368-0157 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ROBERT A BRODY DENTAL HEALTH GROUP PA (954)-428-1803 Prov. No: 000000208793 4660 W HILLSBORO BLVD STE 7 COCONUT CREEK, FL 33073 Gender: Male NPI: 1295830438 License: DN10219 Board Certified: Not Reported E-mail: Not Reported Fax: (954)-429-9011 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
CARMEN D CHILDERS SAGE DENTAL OF COCONUT CREEK PLLC (954)-571-7123 Prov. No: 000012152985 5463 LYONS RD STE C COCONUT CREEK, FL 33073 Gender: Female NPI: 1407247968 License: DN20572 Board Certified: Not Reported E-mail: Not Reported Fax: (954)-368-0157 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
Printed 9/2021Wheelchair Accessible *N/A = Not Applicable
26 GENERAL DENTISTS (Continued)
BROWARD COUNTY (Cont)
COCONUT CREEK (Cont)
EFRAIN CORONADO SAGE DENTAL OF COCONUT CREEK PLLC (954)-571-7123 Prov. No: 000000435059 5463 LYONS RD STE C COCONUT CREEK, FL 33073 Gender: Male NPI: 1518050376 License: DN14839 Board Certified: Not Reported E-mail: Not Reported Fax: (954)-368-0157 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANGELICA C CORREDOR DENTAL HEALTH GROUP PA (954)-428-1803 Prov. No: 000012961983 4660 W HILLSBORO BLVD STE 7 COCONUT CREEK, FL 33073 Gender: Female NPI: 1962930883 License: DN22537 Board Certified: Not Reported E-mail: Not Reported Fax: (954)-429-9011 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ANTONIO R CRUZ SAGE DENTAL OF COCONUT CREEK PLLC (954)-571-7123 Prov. No: 000001771629 5463 LYONS RD STE C COCONUT CREEK, FL 33073 Gender: Male NPI: 1053435156 License: DN12876 Board Certified: Not Reported E-mail: Not Reported Fax: (954)-368-0157 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ZUHDIYAH M DAROJAT SAGE DENTAL OF COCONUT CREEK PLLC (954)-571-7123 Prov. No: 000004590016 5463 LYONS RD STE C COCONUT CREEK, FL 33073 Gender: Female NPI: 1821318544 License: DN18992 Board Certified: N E-mail: Not Reported Fax: (954)-368-0157 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
YANET DIAZ DENTAL HEALTH GROUP PA (954)-428-1803 Prov. No: 000008360402 4660 W HILLSBORO BLVD STE 7 COCONUT CREEK, FL 33073 Gender: Female NPI: 1215376934 License: DN20123 Board Certified: Not Reported E-mail: Not Reported Fax: (954)-429-9011 Accepts New Patients: Y Language: English;Spanish Hospital Affiliation: *N/A
BEATRIZ DUARTE SAGE DENTAL OF COCONUT CREEK PLLC (954)-571-7123 Prov. No: 000012094671 5463 LYONS RD STE C COCONUT CREEK, FL 33073 Gender: Female NPI: 1144477084 License: DN18475 Board Certified: Not Reported E-mail: Not Reported Fax: (954)-368-0157 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
MARCIA A DURKAN SAGE DENTAL OF COCONUT CREEK PLLC (954)-571-7123 Prov. No: 000001772268 5463 LYONS RD STE C COCONUT CREEK, FL 33073 Gender: Female NPI: 1437111754 License: Not Reported Board Certified: Not Reported E-mail: Not Reported Fax: (954)-368-0157 Accepts New Patients: Y Language: English Hospital Affiliation: *N/A
ELAINE ESPINET KUSNIER SAGE DENTAL OF COCONUT CREEK PLLC (954)-571-7123 Prov. No: 000012586075 5463 LY