Options PPO 30 · INTRO - 1. We do not treat members differently because of sex, age, race, color, disability or national origin. ... tulong sa wika. Pakitawagan ang toll-free na

Options PPO 30

Participating Providers

Florida

September 2019

Welcome toUnitedHealthcare’s

Dental PlanPlease 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 directoryWe have included an extensive directory ofnetwork dentists located throughout thecommunity. The dentist information that can befound 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 isincluded in this directory. You do not need areferral from a general dentist to receive carefrom a specialist.

Should you have questions, please call thetoll-free number listed in your enrollmentinformation. We offer language assistanceservices if you require translations or needassistance receiving care in languages otherthan English. Contact our Member ServicesDepartment for translation support.

Meeting our quality standardsYou can have confidence knowing you arereceiving care from dentists who have beencarefully selected for participation in our network.All network dentists undergo a rigorous reviewand credentialing process prior to being acceptedinto our network, which includes the followingmajor elements:

• Dentist education, training and experience• Malpractice history

This process confirms that each dentist has therequired credentials to participate in the network.

We cannot guarantee the continuing participationof dentists currently listed in this directory. Whena provider no longer participates in the network,or has changed participation status, additionalcosts may be incurred. We recommend that youcall the Member Services Department to verifythat a dentist is currently participating in thenetwork prior to seeking care.

American Disabilities Act Notice: In accordance with the requirements of the federal Americans withDisabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), we provide full andequal access to covered services and do not discriminate against qualified individuals with disabilitieson 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 ServicesDepartment.If you believe there is an error in this directory, please call us at 1-800-445-9090 or email [email protected] information contained in this document is accurate as of the first of the month. You may also visitthe www.myuhc.com for current information at any time.

INTRO - 1

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.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Please call the toll-free phone number listed on your identification card.

ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación.

(Chinese)

Ý: N u quý v nói ti ng Vi t (Vietnamese), quý v s c cung c p d ch v tr giúp v ngôn ng mi n phí. Vui lòng g i s i n tho i mi n phí m t sau th h i viên c a quý v .

: (Korean) . .

PAALALA: Kung nagsasalita ka ng Tagalog (Tagalog), may makukuha kang mga libreng serbisyo ng tulong sa wika. Pakitawagan ang toll-free na numero ng telepono na nasa iyong identification card.

Russian)

)Arabic(

ATANSYON: Si w pale Kreyòl ayisyen (Haitian Creole), ou kapab benefisye sèvis ki gratis pou ede w nan lang pa w. Tanpri rele nimewo gratis ki sou kat idantifikasyon w.

ATTENTION : Si vous parlez français (French), des services d’aide linguistique vous sont proposés gratuitement. Veuillez appeler le numéro de téléphone gratuit figurant sur votre carte d’identification.

polsku (Polish)

ATENÇÃO: Se você fala português (Portuguese), contate o serviço de assistência de idiomas gratuito. Ligue gratuitamente para o número encontrado no seu cartão de identificação.

ATTENZIONE: in caso la lingua parlata sia l’italiano (Italian), sono disponibili servizi di assistenza linguistica gratuiti. Per favore chiamate il numero di telefono verde indicato sulla vostra tessera identificativa.

ACHTUNG: Falls Sie Deutsch (German) sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Bitte rufen Sie die gebührenfreie Rufnummer auf der Rückseite Ihres Mitgliedsausweises an.

(Japanese)

)Farsi(

(Hindi)

CEEB TOOM: Yog koj hais Lus Hmoob (Hmong), muaj kev pab txhais lus pub dawb rau koj. Thov hu rau tus xov tooj hu deb dawb uas teev muaj nyob rau ntawm koj daim yuaj cim qhia tus kheej.

(Khmer)

PAKDAAR: Nu saritaem ti Ilocano (Ilocano), ti serbisyo para ti baddang ti lengguahe nga awanan bayadna, ket sidadaan para kenyam. Maidawat nga awagan iti toll-free a numero ti telepono nga nakalista ayan iti identification card mo.

DÍÍ BAA'ÁKONÍNÍZIN: Diné (Navajo)

biká'ígíí bee hodíilnih.

OGOW: Haddii aad ku hadasho Soomaali (Somali), adeegyada taageerada luqadda, oo bilaash ah, ayaad heli kartaa. Fadlan wac lambarka telefonka khadka bilaashka ee ku yaalla kaarkaaga aqoonsiga.

ALACHUA COUNTY

Alachua

ADEL, Douglas M.Douglas M Adel Dds(386) 462-4635Prov. No.: 00000719511714211 NW 150th AveAlachua, FL 32615Language: EnglishGender: MaleNPI: 1508969932License: DN11414License Type: DBP DentistBoard Certified: NEmail:Fax: (386) 462-3009Accepts New Patients: YHospital Affiliation: N/A*

GOSLINGA, Cody S.Alachua Family Dentistry Pa(386) 462-1771Prov. No.: 00000038889214690 NW 151st Blvd Ste 2 �0Alachua, FL 32615Language: EnglishGender: MaleNPI: 1063422111License: DN17072License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (386) 462-1222Accepts New Patients: YHospital Affiliation: N/A*

GOSLINGA, Shane N.Alachua Family Dentistry Pa(386) 462-1771Prov. No.: 00000042977214690 NW 151st Blvd Ste 2 �0Alachua, FL 32615Language: EnglishGender: MaleNPI: 1659568178License: DN17071License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (386) 462-1222Accepts New Patients: YHospital Affiliation: N/A*

ALACHUA COUNTY (Cont.)

Alachua (Cont.)LAZO, Amanda B.Alachua Family Dentistry Pa(386) 462-1771Prov. No.: 00001269448814690 NW 151st Blvd Ste 20Alachua, FL 32615Language: English, SpanishGender: FemaleNPI: 1073873162License: DN19742License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MITCHELL, Justin S.Alachua Family Dentistry Pa(386) 462-1771Prov. No.: 00001261354314690 NW 151st Blvd Ste 2 �0Alachua, FL 32615Language: EnglishGender: MaleNPI: 1891225983License: DN22609License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (386) 462-1222Accepts New Patients: YHospital Affiliation: N/A*

TABIS, LaurenAlachua Family Dentistry Pa(386) 462-1771Prov. No.: 00001219783314690 NW 151st Blvd Ste 2 �0Alachua, FL 32615Language: EnglishGender: FemaleNPI: 1417212945License: DN19711License Type: DBP DentistBoard Certified: NEmail: [email protected]: (386) 462-1222Accepts New Patients: YHospital Affiliation: N/A*


Gainesville

ABBOUD, MariaDynamic Dental HealthAssociates of Florida Pa(352) 332-8199Prov. No.: 000012420948908 NW 57th St �Gainesville, FL 32605Language: English, FrenchGender: FemaleNPI: 1245643741License: DN20622License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 332-7775Accepts New Patients: YHospital Affiliation: N/A*

ABBOUD, MariaDynamic Dental HealthAssociates of Florida Pa(352) 376-6366Prov. No.: 0000124214583731 NW 40th Ter Ste AGainesville, FL 32606Language: English, FrenchGender: FemaleNPI: 1245643741License: DN20622License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (941) 918-0606Accepts New Patients: YHospital Affiliation: N/A*

ABOLVERDI, Shaun G.Prairie Dental Center(352) 373-3431Prov. No.: 0000001976556320 SW 13th St Ste BGainesville, FL 32608Language: EnglishGender: MaleNPI: 1669511598License: DN13800License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 373-8191Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)ABOLVERDI, Shaun G.Affordable Dentures -Gainesville Pa(352) 376-8229Prov. No.: 0000122294479200 NW 39th AveGainesville, FL 32606Language: EnglishGender: MaleNPI: 1669511598License: DN13800License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 338-1546Accepts New Patients: YHospital Affiliation: N/A*

AGRAWAL, Dhiren J.Yaling Liu(352) 331-1004Prov. No.: 0000126175666110 NW 1st Pl Ste AGainesville, FL 32607Language: EnglishGender: MaleNPI: 1700227923License: DN20288License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (813) 464-3184Accepts New Patients: YHospital Affiliation: N/A*

ANNAS, Samantha J.Dynamic Dental HealthAssociates of Florida Pa(352) 332-8199Prov. No.: 000012161853908 NW 57th St �Gainesville, FL 32605Language: EnglishGender: FemaleNPI: 1649618802License: DN20113License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 332-7775Accepts New Patients: YHospital Affiliation: N/A*

1GENERAL DENTISTS

� Wheelchair Accessible*N/A = Not Applicable


Gainesville (Cont.)ATTIA, Safwat B.Sawat B Attia Dds(352) 378-3131Prov. No.: 0000003077374000 W Newberry Rd Ste EGainesville, FL 32607Language: EnglishGender: MaleNPI: 1952311730License: DN9531License Type: DBP DentistBoard Certified: Not ReportedEmail: magsattia@hotmail. comFax: ( ) -Accepts New Patients: NHospital Affiliation: N/A*

ATWAL, Manveen K.Dynamic Dental HealthAssociates of Florida Pa(352) 376-6366Prov. No.: 0000120466833731 NW 40th Ter Ste AGainesville, FL 32606Language: EnglishGender: FemaleNPI: 1104178821License: DN19979License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BALUYOT, Rondre F.The Oaks Family DentistryPllc(352) 331-1004Prov. No.: 0000050594846110 NW 1st Pl Ste AGainesville, FL 32607Language: English, Spanish,TagalogGender: MaleNPI: 1346596509License: DN19703License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)BALUYOT, Rondre F.Alachua County HealthDepartment(352) 225-4320Prov. No.: 000012540764816 SW 64th TerGainesville, FL 32607Language: English, Spanish,TagalogGender: MaleNPI: 1346596509License: DN19703License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BALUYOT, Rondre F.Florida Department of HealthAlachua County Health(352) 334-7900Prov. No.: 000012701715224 SE 24th StGainesville, FL 32641Language: English, Spanish,TagalogGender: MaleNPI: 1346596509License: DN19703License Type: DBP DentistBoard Certified: NEmail: [email protected]: (352) 955-2126Accepts New Patients: YHospital Affiliation: N/A*

BANFIELD, Gary W.Gary W Banfield Dds(353) 375-6116Prov. No.: 0000001965795347 SW 91st Ter Ste BGainesville, FL 32608Language: EnglishGender: MaleNPI: 1407949522License: DN11422License Type: DBP DentistBoard Certified: NEmail: [email protected] mFax: (353) 378-2184Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)BILLINGSLEY, Matthew J.Comfortable Care DentalHealth Professionals Pa(352) 378-3139Prov. No.: 0000007187765622 NW 43rd StGainesville, FL 32653Language: EnglishGender: MaleNPI: 1124340062License: DN18863License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BOEHLING, Anne K.Coast Dental-NewberrySquare(352) 332-4180Prov. No.: 0000126175591010 NW 76th Blvd �Gainesville, FL 32606Language: EnglishGender: FemaleNPI: 1568991677License: DN22650License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 332-7894Accepts New Patients: YHospital Affiliation: N/A*

BRITO, Daryl N.Yaling Liu(352) 331-1004Prov. No.: 0000126175646110 NW 1st Pl Ste AGainesville, FL 32607Language: EnglishGender: MaleNPI: 1821473828License: DN21453License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (813) 464-3184Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)BROCK, David L.Florida Department of HealthAlachua County Health(352) 334-7900Prov. No.: 000012701713224 SE 24th StGainesville, FL 32641Language: EnglishGender: MaleNPI: 1275599250License: DN9158License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 955-2126Accepts New Patients: YHospital Affiliation: N/A*

BRODSKY, SimonCoast Dental-Gainesville(352) 371-7766Prov. No.: 0000128847225021 NW 34th Blvd Ste A �Gainesville, FL 32605Language: EnglishGender: MaleNPI: 1225525272License: DN23232License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 371-1080Accepts New Patients: YHospital Affiliation: N/A*

BUDZINSKI, VolhaRural Health Care(352) 375-3790Prov. No.: 000012630484410 NE Waldo Rd �Gainesville, FL 32641Language: English, RussianGender: FemaleNPI: 1588047468License: DN21424License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 375-3791Accepts New Patients: YHospital Affiliation: N/A*

2 GENERAL DENTISTS (Continued)



Gainesville (Cont.)BUECHELE, Michelle S.Manfred F Buechele Dmd(352) 376-6366Prov. No.: A000000227333731 NW 40th Ter Ste AGainesville, FL 32606Language: EnglishGender: FemaleNPI: 1023274784License: DN18318License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 376-3099Accepts New Patients: YHospital Affiliation: N/A*

CLARK HILL, CaraCara Clark Hill(352) 331-9922Prov. No.: 0000121759731204 NW 69th Ter Ste EGainesville, FL 32605Language: EnglishGender: FemaleNPI: 1336469758License: DN18990License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 331-9676Accepts New Patients: YHospital Affiliation: N/A*

DAVILA, Jose L.Daivila and Associates Pa(352) 377-8678Prov. No.: 0000000244814001 W Newberry Rd Ste B4Gainesville, FL 32607Language: EnglishGender: MaleNPI: 1306831474License: DN11794License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 373-9050Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)DAY, Jennifer M.Day Dental Pllc(352) 376-8207Prov. No.: 0000021597351410 NW 13th St Ste 8 �Gainesville, FL 32601Language: EnglishGender: FemaleNPI: 1487076741License: DN17537License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DELMOND, Joseph A.Delmond Dentistry(352) 376-3313Prov. No.: 0000121049335502 NW 43rd St Ste 1 �Gainesville, FL 32653Language: EnglishGender: MaleNPI: 1699088831License: DN18994License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (888) 880-4219Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, Sabrina A.University Family Dentistry(352) 376-5661Prov. No.: 0000121570951230 NW 9th Ave �Gainesville, FL 32601Language: EnglishGender: FemaleNPI: 1619359585License: DN21202License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)DICKENS, Lauren K.Comfortable Care DentalHealth Professionals Pa(352) 376-5661Prov. No.: 0000121636681230 NW 9th Ave �Gainesville, FL 32601Language: EnglishGender: FemaleNPI: 1932583606License: DN21209License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ELY, Sheryl B.Ely Family Dentistry Llc(352) 373-7373Prov. No.: 0000001957334140 NW 27th Ln Ste H �Gainesville, FL 32606Language: EnglishGender: FemaleNPI: 1275789083License: DN16327License Type: DBP DentistBoard Certified: NEmail: [email protected]: (352) 377-1225Accepts New Patients: YHospital Affiliation: N/A*

GARCIA, JanGainesville Family Dentistry(352) 378-3139Prov. No.: 0000122007485622 NW 43rd St �Gainesville, FL 32653Language: English, SpanishGender: MaleNPI: 1982016051License: DN20598License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 371-0135Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)GERBER, Dale L.Gerber Dental(352) 331-4700Prov. No.: 0000126444857733 W Newberry Rd Ste B3Gainesville, FL 32606Language: EnglishGender: MaleNPI: 1275557969License: DN11078License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 331-4743Accepts New Patients: YHospital Affiliation: N/A*

GOLDSTEIN, Jules D.Coast Florida Pa(352) 371-7766Prov. No.: 0000135243385021 NW 34th Blvd Ste AGainesville, FL 32605Language: EnglishGender: FemaleNPI: 1548393101License: DN6809License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GOLWAY, Eileen C.Eileen C Golway Dmd Pa(352) 333-3683Prov. No.: 0000003323046801 NW 9th Blvd Ste 3 �Gainesville, FL 32605Language: EnglishGender: FemaleNPI: 1871918391License: DN11267License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] omFax: (352) 333-3684Accepts New Patients: YHospital Affiliation: N/A*

3GENERAL DENTISTS (Continued)



Gainesville (Cont.)GREENWALT, Brandon L.Rural Health Care(352) 375-3790Prov. No.: 000012008463410 NE Waldo Rd �Gainesville, FL 32641Language: EnglishGender: MaleNPI: 1194087742License: DN19737License Type: DBP DentistBoard Certified: NEmail:Fax: (352) 375-3791Accepts New Patients: YHospital Affiliation: N/A*

GREENWALT, Brandon L.Haile Plantation Family DentalCenter(352) 375-6116Prov. No.: 0000120579145347 SW 91st Ter Ste BGainesville, FL 32608Language: EnglishGender: MaleNPI: 1194087742License: DN19737License Type: DBP DentistBoard Certified: NEmail:Fax: (352) 378-2184Accepts New Patients: YHospital Affiliation: N/A*

GUERRA ANDRADE, Ernesto L.John B Vairo Dmd(352) 372-0451Prov. No.: 0000125284749120 NW 36th PlGainesville, FL 32606Language: English, SpanishGender: MaleNPI: 1225414402License: DN21508License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)HALADY, Pratima G.Rural Health Care(352) 375-3790Prov. No.: 000012853852410 NE Waldo Rd �Gainesville, FL 32641Language: EnglishGender: FemaleNPI: 1720256811License: DN 15770License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 375-3791Accepts New Patients: YHospital Affiliation: N/A*

HAMRICK, Raquel M.Comfortable Care DentalHealth Professionals Pa(352) 378-3139Prov. No.: 0000124253525622 NW 43rd StGainesville, FL 32653Language: EnglishGender: FemaleNPI: 1073962965License: DN21880License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HILL, Elizabeth A.Elizabeth A Hill(352) 373-7582Prov. No.: 0000120428861000 NW 8th Ave Ste BGainesville, FL 32601Language: EnglishGender: FemaleNPI: 1760490734License: DN12159License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)HILL, Elizabeth A.Alachua County HealthDepartment(352) 225-4320Prov. No.: 000012519798816 SW 64th TerGainesville, FL 32607Language: EnglishGender: FemaleNPI: 1760490734License: DN12159License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HILL, Elizabeth A.Florida Department of HealthAlachua County Health(352) 334-7900Prov. No.: 000012701712224 SE 24th StGainesville, FL 32641Language: EnglishGender: FemaleNPI: 1760490734License: DN12159License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 955-2126Accepts New Patients: YHospital Affiliation: N/A*

JOHARY, EdwinEdwin F Johary Dds Pa(352) 377-0360Prov. No.: 0000002030391831 NW 13th St Ste 4Gainesville, FL 32609Language: EnglishGender: MaleNPI: 1609916899License: DN15990License Type: DBP DentistBoard Certified: NEmail: [email protected]: (352) 377-4597Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)JU, SujinSujin Ju Dmd(352) 226-8268Prov. No.: 000004473709150 NW 75th Dr Ste BGainesville, FL 32607Language: EnglishGender: FemaleNPI: 1720215635License: DN18664License Type: DBP DentistBoard Certified: NEmail:Fax: (352) 240-6915Accepts New Patients: YHospital Affiliation: N/A*

KALIFEH, Robert C.Rural Health Care(352) 375-3790Prov. No.: 000011999698410 NE Waldo Rd �Gainesville, FL 32641Language: EnglishGender: MaleNPI: 1528321544License: DN19739License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 375-3791Accepts New Patients: YHospital Affiliation: N/A*

KOKKAS, Athanasios D.Coast Florida Pa(352) 371-7766Prov. No.: 0000003304735021 NW 34th Blvd Ste AGainesville, FL 32605Language: EnglishGender: MaleNPI: 1356452932License: DN16761License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Gainesville (Cont.)KU-TORRES, Mario A.Mario A Ku Dds Pa(352) 372-5550Prov. No.: A000000222235180 SW 34th StGainesville, FL 32608Language: EnglishGender: MaleNPI: 1376613901License: DN16000License Type: DBP DentistBoard Certified: NEmail:Fax: (352) 372-5552Accepts New Patients: YHospital Affiliation: N/A*

LEMOINE, JesseDynamic Dental HealthAssociates of Florida Pa(352) 332-8199Prov. No.: 000013183849908 NW 57th St �Gainesville, FL 32605Language: EnglishGender: FemaleNPI: 1104207299License: DN23717License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 332-7775Accepts New Patients: YHospital Affiliation: N/A*

LEMOINE, JesseDynamic Dental HealthAssociates of Florida Pa(352) 376-6366Prov. No.: 0000131838503731 NW 40th Ter Ste AGainesville, FL 32606Language: EnglishGender: FemaleNPI: 1104207299License: DN23717License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)LEMUS, AnalidysAspen Dental(352) 333-7788Prov. No.: 0000125170716921 W Newberry RdGainesville, FL 32605Language: EnglishGender: FemaleNPI: 1710431234License: DN22160License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 332-4380Accepts New Patients: YHospital Affiliation: N/A*

LISTZWAN, James L.James L Listzwan Dds Pa(352) 376-6330Prov. No.: 0000002442954001 W Newberry RdGainesville, FL 32607Language: EnglishGender: MaleNPI: 1225237050License: DN4831License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 376-8994Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, MelvinRural Health Care(352) 375-3790Prov. No.: 000012785532410 NE Waldo Rd �Gainesville, FL 32641Language: English, SpanishGender: MaleNPI: 1689081242License: DN20873License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 375-3791Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)LOPEZ DE CASTRO BOLUFER, AlbertoDynamic Dental HealthAssociates of Florida Pa(352) 376-6366Prov. No.: 0000129382193731 NW 40th Ter Ste AGainesville, FL 32606Language: EnglishGender: MaleNPI: 1043704786License: DN23495License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

NGUYEN, Sabrina P.Aspen Dental(352) 333-7788Prov. No.: 0000124688976921 W Newberry RdGainesville, FL 32605Language: EnglishGender: FemaleNPI: 1932553864License: DN21924License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 332-4380Accepts New Patients: YHospital Affiliation: N/A*

ONATE, Mairelys D.Rural Health Care(352) 375-3790Prov. No.: 000012452510410 NE Waldo Rd �Gainesville, FL 32641Language: English, SpanishGender: FemaleNPI: 1154773851License: DN21968License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 375-3791Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)PAIROT, Alfredo A.Rural Health Care(352) 375-3790Prov. No.: 000012001387410 NE Waldo Rd �Gainesville, FL 32641Language: English, SpanishGender: MaleNPI: 1932174448License: DN12941License Type: DBP DentistBoard Certified: YEmail:Fax: (352) 375-3791Accepts New Patients: YHospital Affiliation: N/A*

PALADINO, James C.Cara Clark Hill Dmd Llc(352) 331-9992Prov. No.: 0000002320831204 NW 69th Ter Ste EGainesville, FL 32605Language: English, SpanishGender: MaleNPI: 1932364783License: DN 6250License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 331-9676Accepts New Patients: YHospital Affiliation: N/A*

PASTORA, Yocasta C.Archer Dental(352) 331-4731Prov. No.: 0000000377402602 SW 87th Dr Ste 101 �Gainesville, FL 32608Language: EnglishGender: FemaleNPI: 1851508709License: DN 13146License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 331-4733Accepts New Patients: YHospital Affiliation: N/A*




Gainesville (Cont.)PATEL, Mili D.Yaling Liu(352) 331-1004Prov. No.: 0000125860566110 NW 1st Pl Ste AGainesville, FL 32607Language: EnglishGender: FemaleNPI: 1528127776License: DN15964License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (813) 464-3184Accepts New Patients: YHospital Affiliation: N/A*

PIRKLE, PatrickPirkle Dental Llc(352) 333-0441Prov. No.: 000009756231230 NW 76th Dr Ste BGainesville, FL 32607Language: EnglishGender: MaleNPI: 1134174162License: DN16421License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 332-4020Accepts New Patients: YHospital Affiliation: N/A*

REVELS, Emily R.Gator Family Dental(352) 333-0441Prov. No.: 000012653863230 NW 76th Dr Ste BGainesville, FL 32607Language: EnglishGender: FemaleNPI: 1780939413License: DN20322License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)RODRIGUEZ, Maria E.John A Samarkos Dmd Pa(352) 331-4885Prov. No.: 000000097875105 NW 75th St Ste 1 �Gainesville, FL 32607Language: EnglishGender: FemaleNPI: 1871703330License: DN12461License Type: DBP DentistBoard Certified: NEmail: [email protected] omFax: (352) 331-4838Accepts New Patients: YHospital Affiliation: N/A*

RUDOLPH, Glenn A.Yaling Liu(352) 331-1004Prov. No.: 0000126124286110 NW 1st Pl Ste AGainesville, FL 32607Language: EnglishGender: MaleNPI: 1033482260License: DN22751License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (813) 464-3184Accepts New Patients: YHospital Affiliation: N/A*

SAMARKOS, John A.John A Samarkos Dmd Pa(352) 331-4885Prov. No.: 000000257070105 NW 75th St Ste 1 �Gainesville, FL 32607Language: EnglishGender: MaleNPI: 1669682266License: DN 12788License Type: DBP DentistBoard Certified: NEmail: [email protected] omFax: (352) 331-4838Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)SANCHEZ, Jairo A.Coast Florida Pa(352) 371-7766Prov. No.: 0000124608875021 NW 34th Blvd Ste AGainesville, FL 32605Language: EnglishGender: MaleNPI: 1376994236License: DN22032License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SARAGA, DavidRural Health Care(352) 375-3790Prov. No.: 000012770547410 NE Waldo Rd �Gainesville, FL 32641Language: EnglishGender: MaleNPI: 1780805028License: DN8746License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 375-3791Accepts New Patients: YHospital Affiliation: N/A*

SCHAFF, WhitneyYaling Liu(352) 331-1004Prov. No.: 0000129236186110 NW 1st Pl Ste AGainesville, FL 32607Language: EnglishGender: FemaleNPI: 1215454830License: DN23741License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (813) 464-3184Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)SHOWSTARK, Stephan M.Affordable Dentures -Gainesville Pa(352) 376-8229Prov. No.: 0000012656909200 NW 39th AveGainesville, FL 32606Language: EnglishGender: MaleNPI: 1639266562License: DN6996License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 338-1546Accepts New Patients: NHospital Affiliation: N/A*

SKOBY, Julie B.Julie B Skoby Dmd(352) 377-5737Prov. No.: 0000003027743721 NW 40th Ter Ste A �Gainesville, FL 32606Language: EnglishGender: FemaleNPI: 1376542043License: DN11367License Type: DBP DentistBoard Certified: NEmail:Fax: (352) 335-3200Accepts New Patients: YHospital Affiliation: N/A*

SON, MinsungAspen Dental(352) 333-7788Prov. No.: 0000125890366921 W Newberry RdGainesville, FL 32605Language: EnglishGender: MaleNPI: 1922338474License: DN18911License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 332-4380Accepts New Patients: YHospital Affiliation: N/A*




Gainesville (Cont.)TRAN, Lan T.Lan T Tran Dmd Pa(352) 373-1884Prov. No.: 0000002480091014 NW 23rd AveGainesville, FL 32609Language: EnglishGender: FemaleNPI: 1972799112License: DN10181License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (352) 337-6073Accepts New Patients: YHospital Affiliation: N/A*

TYLER, Kathy Z.Endodontic Assoc(352) 373-1040Prov. No.: 0000045874274650 NW 39th Ave Ste I �Gainesville, FL 32606Language: EnglishGender: FemaleNPI: 1962598573License: DN12085License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

VAIRO, John B.John B Vairo Dmd(352) 372-0451Prov. No.: 0000000338649120 NW 36th PlGainesville, FL 32606Language: EnglishGender: MaleNPI: 1093874794License: DN14387License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)WATSON, WillardJohn A Samarkos Dmd Pa(352) 331-4885Prov. No.: 000009937912105 NW 75th St Ste 1 �Gainesville, FL 32607Language: EnglishGender: MaleNPI: 1801027313License: DN9351License Type: DBP DentistBoard Certified: NEmail: [email protected] omFax: (352) 331-4838Accepts New Patients: YHospital Affiliation: N/A*

WHITFORD, Drew D.Florida Department of HealthAlachua County Health(352) 334-7900Prov. No.: 000012701714224 SE 24th StGainesville, FL 32641Language: EnglishGender: MaleNPI: 1851527303License: DN18661License Type: DBP DentistBoard Certified: NEmail: [email protected]: (352) 955-2126Accepts New Patients: YHospital Affiliation: N/A*

WITT, William M.Affordable Dentures -Gainesville Pa(352) 376-8229Prov. No.: 0000120428169200 NW 39th Ave Ste 200Gainesville, FL 32606Language: EnglishGender: MaleNPI: 1417987967License: DN6188License Type: DBP DentistBoard Certified: NEmail:Fax: (352) 338-1546Accepts New Patients: YHospital Affiliation: N/A*


Gainesville (Cont.)ZIATYK, Ilona K.Coast Dental-NewberrySquare(352) 332-4180Prov. No.: 0000134983451010 NW 76th Blvd �Gainesville, FL 32606Language: EnglishGender: FemaleNPI: 1912566571License: DN24164License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 332-7894Accepts New Patients: YHospital Affiliation: N/A*

ZIATYK, Ilona K.Coast Dental-Gainesville(352) 371-7766Prov. No.: 0000134983495021 NW 34th Blvd Ste A �Gainesville, FL 32605Language: EnglishGender: FemaleNPI: 1912566571License: DN24164License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 371-1080Accepts New Patients: YHospital Affiliation: N/A*

Hawthorne

WHITE, Fred A.Fred White(352) 481-2741Prov. No.: 0000121888066605 SE 221st StHawthorne, FL 32640Language: EnglishGender: MaleNPI: 1073651436License: DN12468License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 481-5341Accepts New Patients: YHospital Affiliation: N/A*


Jonesville

HILL, Charlotte G.Martin Kids Dental HealthTeam Pllc(352) 371-3200Prov. No.: 00001218964613820 W Newberry Rd Ste 100Jonesville, FL 32669Language: EnglishGender: FemaleNPI: 1902246184License: DN20184License Type: DBP DentistBoard Certified: NEmail: [email protected]: (352) 377-7102Accepts New Patients: YHospital Affiliation: N/A*

Newberry

BRUSH, Cynthia D.Tioga Dental & OrthodonticsPllc(352) 333-1946Prov. No.: 00000039471913005 SW 1st Rd Ste 233Newberry, FL 32669Language: EnglishGender: FemaleNPI: 1003941568License: DN15173License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LISTZWAN, James L.Newberry Family DentistryInc(352) 472-4444Prov. No.: A0000002390612 SW 250th StNewberry, FL 32669Language: EnglishGender: MaleNPI: 1225237050License: DN4831License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Newberry (Cont.)NERIKAR, Vivekanand V.Jonesville Family Dentistry(352) 332-3080Prov. No.: A00000021401175 NW 138th Ter Ste 200Newberry, FL 32669Language: EnglishGender: MaleNPI: 1538179049License: DN14905License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (352) 333-3729Accepts New Patients: YHospital Affiliation: N/A*

NORRIS, W BenjaminTioga Dental & OrthodonticsPllc(352) 333-1946Prov. No.: 00001223954713005 SW 1st Rd Ste 233Newberry, FL 32669Language: EnglishGender: MaleNPI: 1205925146License: DN12030License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

POTTER, Sara A.Tioga Dental & OrthodonticsPllc(352) 333-1946Prov. No.: 00000126541413005 SW 1st Rd Ste 233Newberry, FL 32669Language: EnglishGender: FemaleNPI: 1235311341License: DN17950License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY

Lynn Haven

CURLEY, StephanieComfortable Care DentalHealth Professionals Pa(850) 265-9593Prov. No.: 000013528806801 Ohio AveLynn Haven, FL 32444Language: EnglishGender: Not ReportedNPI: 1154797652License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HARRISON, FranklinComfortable Care DentalHealth Professionals Pa(850) 265-9593Prov. No.: 000013146969801 Ohio AveLynn Haven, FL 32444Language: EnglishGender: MaleNPI: 1396834396License: DN14862License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Panama City

ABDULRAHIM, YahiaRoyal Dental(850) 740-3100Prov. No.: 0000124465432335 State Ave Ste APanama City, FL 32405Language: EnglishGender: MaleNPI: 1184092603License: DN21598License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (850) 640-0636Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Panama City (Cont.)ABDULRAHIM, YahiaPancare of Florida(850) 767-3350Prov. No.: 000012588428403 E 11th StPanama City, FL 32401Language: EnglishGender: MaleNPI: 1184092603License: DN21598License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 767-3353Accepts New Patients: YHospital Affiliation: N/A*

AZAM, ShabanaWhite Sand Dental Studio(850) 588-5256Prov. No.: 0000125943203135 Thomas DrPanama City, FL 32408Language: EnglishGender: FemaleNPI: 1083051106License: DN21078License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (850) 775-4154Accepts New Patients: YHospital Affiliation: N/A*

BERRY, Stephen E.Panhandle Pediatric DentistryPllc(850) 481-1969Prov. No.: 0000124228903123 W 23rd St �Panama City, FL 32405Language: EnglishGender: MaleNPI: 1699889352License: DN16280License Type: DBP DentistBoard Certified: YEmail: [email protected]: (850) 481-1972Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Panama City (Cont.)CLAUSSEN, MeghannPancare of Florida(850) 767-3350Prov. No.: 000012588533403 E 11th StPanama City, FL 32401Language: EnglishGender: FemaleNPI: 1336454651License: DN19128License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 767-3353Accepts New Patients: YHospital Affiliation: N/A*

CLAUSSEN, Peter B.Panhandle Pediatric DentistryPllc(850) 481-1969Prov. No.: 0000124561863123 W 23rd StPanama City, FL 32405Language: EnglishGender: MaleNPI: 1295769800License: DN7118License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (850) 481-1972Accepts New Patients: YHospital Affiliation: N/A*

COLLIAS, John C.Bay Dental Center Pa(850) 785-5502Prov. No.: 00000458947945 E Beach DrPanama City, FL 32401Language: EnglishGender: MaleNPI: 1205859345License: DN16143License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (850) 785-5510Accepts New Patients: YHospital Affiliation: N/A*



BAY COUNTY (Cont.)

Panama City (Cont.)ECHEVARRIA, Javier E.Aspen Dental(850) 532-6738Prov. No.: 000013010608510 E 23rd StPanama City, FL 32405Language: EnglishGender: MaleNPI: 1205860723License: DN23849License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (315) 438-4483Accepts New Patients: YHospital Affiliation: N/A*

ELZAWAHRY, Arzu Ersoy E.Arzu Elzawahry Dmd(850) 763-4545Prov. No.: 0000001355161560 Jenks Ave �Panama City, FL 32405Language: EnglishGender: FemaleNPI: 1467505354License: DN14568License Type: DBP DentistBoard Certified: NEmail:Fax: (850) 763-0585Accepts New Patients: YHospital Affiliation: N/A*

ELZAWAHRY, TamamArzu Elzawahry Dmd(850) 763-4545Prov. No.: 0000003723681560 Jenks Ave �Panama City, FL 32405Language: Arabic, EnglishGender: MaleNPI: 1568536555License: DN14730License Type: DBP DentistBoard Certified: NEmail:Fax: (850) 763-0585Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Panama City (Cont.)ELZAWAHRY, Tarek H.Advanced Dental Clinic Pa(850) 914-0550Prov. No.: 000000085856311 Airport RdPanama City, FL 32405Language: EnglishGender: MaleNPI: 1154758076License: DN14287License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (850) 914-8511Accepts New Patients: YHospital Affiliation: N/A*

FLEIGEL, Jeffrey D.Eric R Claussen Dmd(850) 215-0798Prov. No.: 0000125087112624 Jenks Ave �Panama City, FL 32405Language: EnglishGender: MaleNPI: 1336357748License: DN17200License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (850) 215-7666Accepts New Patients: YHospital Affiliation: N/A*

GETZ, Michelle A.Cove Dental Care Llc(850) 769-1710Prov. No.: 000000304347406 N Cove Blvd �Panama City, FL 32401Language: EnglishGender: FemaleNPI: 1689641250License: DN17232License Type: DBP DentistBoard Certified: NEmail: [email protected]: (850) 913-0660Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Panama City (Cont.)GRIFFIN, Tara M.Emerald Coast Dental Spa Inc(850) 249-9311Prov. No.: 000012609192900 Thomas DrPanama City, FL 32408Language: EnglishGender: FemaleNPI: 1205084704License: DN17668License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

HEIKOWSKY, Robert C.Beach Dental Studio(850) 234-2110Prov. No.: 0000001819388730 Thomas Dr Ste 1102Panama City, FL 32408Language: EnglishGender: MaleNPI: 1013110097License: DN009445License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

JAUCH, Michael T.Panama City Smiles Pa(850) 763-8788Prov. No.: 0000129786011022 Harrison AvePanama City, FL 32401Language: EnglishGender: MaleNPI: 1396268504License: DN22824License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (850) 763-0087Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Panama City (Cont.)KNOWLES, Laura L.Pancare of Florida(850) 767-3350Prov. No.: 000012615108403 E 11th StPanama City, FL 32401Language: EnglishGender: FemaleNPI: 1346778412License: DN22620License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 767-3353Accepts New Patients: YHospital Affiliation: N/A*

LAPOINTE, Lisa M.Panhandle Pediatric DentistryPllc(850) 481-1969Prov. No.: 0000124264223123 W 23rd StPanama City, FL 32405Language: EnglishGender: FemaleNPI: 1336454701License: DN20298License Type: DBP DentistBoard Certified: YEmail: [email protected]: (850) 481-1972Accepts New Patients: YHospital Affiliation: N/A*

MOFFA, Michelle M.Pancare of Florida(850) 767-3350Prov. No.: 000012589396403 E 11th StPanama City, FL 32401Language: EnglishGender: FemaleNPI: 1841277407License: DN21740License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 767-3353Accepts New Patients: YHospital Affiliation: N/A*



BAY COUNTY (Cont.)

Panama City (Cont.)MOSTAFA, Sherin M.Sherin Mostafa(850) 640-2162Prov. No.: 000004647966340 W 23rd St Ste CPanama City, FL 32405Language: EnglishGender: FemaleNPI: 1154690196License: DN19594License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (850) 640-2163Accepts New Patients: YHospital Affiliation: N/A*

MULLINS, James H.Forest Park Smiles On 11thPllc(850) 763-3622Prov. No.: 0000001308061010 W 11th StPanama City, FL 32401Language: EnglishGender: MaleNPI: 1063674802License: DN5098License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MURRAY, Michael D.Dr Michael D Murray Dds Pa(850) 785-3758Prov. No.: 0000000951742507 Harrison Ave Unit 100Panama City, FL 32405Language: EnglishGender: MaleNPI: 1942417761License: DN14469License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (850) 215-5661Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Panama City (Cont.)NORTON, Andrew W.Pancare of Florida(850) 767-3350Prov. No.: 000012268649403 E 11th StPanama City, FL 32401Language: EnglishGender: MaleNPI: 1861754020License: DN19745License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 767-3353Accepts New Patients: YHospital Affiliation: N/A*

PAIVA JR, Jose V.Jviana Paivajr(850) 763-5858Prov. No.: 0000124607142309A Saint Andrews BlvdPanama City, FL 32405Language: English,Portuguese, SpanishGender: MaleNPI: 1104066448License: DN18971License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (850) 763-7125Accepts New Patients: YHospital Affiliation: N/A*

PAPPAS, Trae H.Comfortable Care DentalHealth Professionals Pa(850) 763-8788Prov. No.: 0000122398891022 Harrison AvePanama City, FL 32401Language: EnglishGender: MaleNPI: 1952741316License: DN20233License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (850) 763-0087Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Panama City (Cont.)PASCOLI, JennaForest Park Smiles On 11thPllc(850) 763-3622Prov. No.: 0000126454261010 W 11th StPanama City, FL 32401Language: EnglishGender: FemaleNPI: 1467905422License: DN22211License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PASCOLI, JennaKrista P Thompson Dmd(850) 785-8586Prov. No.: 000013011884707 Jenks AvePanama City, FL 32401Language: EnglishGender: FemaleNPI: 1467905422License: DN22211License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PATEL, Anishkumar T.Comfortable Care DentalHealth Professionals Pa(850) 763-8788Prov. No.: 0000002856361022 Harrison AvePanama City, FL 32401Language: English, Hindi,SpanishGender: MaleNPI: 1417905597License: DN17143License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (850) 763-0087Accepts New Patients: NHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Panama City (Cont.)PIORKOWSKI, Gary M.Pancare of Florida(850) 767-3350Prov. No.: 000012589395403 E 11th StPanama City, FL 32401Language: EnglishGender: MaleNPI: 1699705434License: DN21660License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 767-3353Accepts New Patients: YHospital Affiliation: N/A*

ROWE, Mark A.Emerald Coast Dental Spa Inc(850) 249-9311Prov. No.: 000012791916900 Thomas DrPanama City, FL 32408Language: EnglishGender: MaleNPI: 1063549780License: DN23118License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

STEVERSON HAWKINS, Susan S.North Florida Dental Care Llc(850) 215-8052Prov. No.: 0000048229471010 Harrison AvePanama City, FL 32401Language: EnglishGender: FemaleNPI: 1013249762License: DN17339License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (850) 215-8053Accepts New Patients: YHospital Affiliation: N/A*



BAY COUNTY (Cont.)

Panama City (Cont.)THOMPSON, KristaKrista P Thompson Dmd(850) 785-8586Prov. No.: 000013017399707 Jenks AvePanama City, FL 32401Language: EnglishGender: FemaleNPI: 1568813970License: DN21936License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

TICOLA, Matthew P.Panhandle Pediatric Dentistry(850) 481-1969Prov. No.: 0000124649623123 W 23rd StPanama City, FL 32405Language: EnglishGender: MaleNPI: 1346387644License: DN16460License Type: DBP DentistBoard Certified: YEmail: [email protected]: (850) 481-1972Accepts New Patients: YHospital Affiliation: N/A*

VAN DYKE, KanyaratanaDavid P Windham Dmd(850) 763-8030Prov. No.: A000000240365701 Hickory StPanama City, FL 32404Language: EnglishGender: FemaleNPI: 1003122656License: DN18668License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (850) 763-0820Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Panama City (Cont.)WAHEED, AbdulBaldwin Dental(850) 215-0128Prov. No.: 000000444057528 W Baldwin RdPanama City, FL 32405Language: EnglishGender: MaleNPI: 1538206123License: DN18440License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (850) 481-1976Accepts New Patients: YHospital Affiliation: N/A*

WILLIAMS, Sean T.Pancare of Florida(850) 767-3350Prov. No.: 000013131822403 E 11th StPanama City, FL 32401Language: EnglishGender: MaleNPI: 1306376512License: DN22573License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 767-3353Accepts New Patients: YHospital Affiliation: N/A*

WINDHAM, David P.David P Windham Dmd(850) 763-8030Prov. No.: 0000001024385701 Hickory StPanama City, FL 32404Language: EnglishGender: MaleNPI: 1306982848License: DN10200License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (850) 763-0820Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Panama City Beach

BAKER, Jason E.Lifestyle Clinic Llc(850) 650-2070Prov. No.: 00000696258422623 Panama City Beach P �Kwy Ste 5Panama City Beach, FL 32413Language: EnglishGender: MaleNPI: 1457473803License: DN17784License Type: DBP DentistBoard Certified: NEmail:Fax: (850) 650-2073Accepts New Patients: YHospital Affiliation: N/A*

BAYA, StephaniePanama City Beach ForCosmetic & Family(850) 235-2299Prov. No.: 000012589638309 N Richard Jackson BlvD Ste 102Panama City Beach, FL 32407Language: EnglishGender: FemaleNPI: 1982959805License: DN19829License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (850) 334-9017Accepts New Patients: YHospital Affiliation: N/A*

DUBOIS, AshleyPanama City Beach ForCosmetic & Family(850) 235-2299Prov. No.: 000012589228309 N Richard Jackson BlvD Ste 102Panama City Beach, FL 32407Language: EnglishGender: FemaleNPI: 1053795401License: DN21423License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (850) 334-9017Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Panama City Beach (Cont.)GOODREAU, Gregory W.Parkway Dental Assoc(850) 230-3364Prov. No.: 00000013177817350 Panama City Beach PKwyPanama City Beach, FL 32413Language: EnglishGender: MaleNPI: 1609088160License: DN13745License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (850) 233-9434Accepts New Patients: YHospital Affiliation: N/A*

LICHORWIC, DennisPanama City Beach ForCosmetic & Family(850) 235-2299Prov. No.: 000012589229309 N Richard Jackson BlvD Ste 102Panama City Beach, FL 32407Language: EnglishGender: MaleNPI: 1568598290License: DN14608License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (850) 334-9017Accepts New Patients: YHospital Affiliation: N/A*

MORSHED, AlyAly Morshed(850) 588-9000Prov. No.: 00001222747311695 Panama City Beach PKwyPanama City Beach, FL 32407Language: EnglishGender: MaleNPI: 1730244948License: DN18413License Type: DBP DentistBoard Certified: NEmail: [email protected]: (850) 588-5593Accepts New Patients: YHospital Affiliation: N/A*



BAY COUNTY (Cont.)

Panama City Beach (Cont.)RICHARDSON, Russell T.Parkway Dental Assoc(850) 230-3364Prov. No.: 00000030723417350 Panama City Beach PKwyPanama City Beach, FL 32413Language: EnglishGender: MaleNPI: 1871705335License: DN17561License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (850) 233-9434Accepts New Patients: YHospital Affiliation: N/A*

SKINNER, JuliaPanama City Beach ForCosmetic & Family(850) 235-2299Prov. No.: 000012457240309 N Richard Jackson BlvD Ste 102Panama City Beach, FL 32407Language: EnglishGender: FemaleNPI: 1376838367License: DN19333License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected] mFax: (850) 334-9017Accepts New Patients: YHospital Affiliation: N/A*

Youngstown

CLAUSSEN, MeghannPancare of Florida Inc(850) 753-3246Prov. No.: 00001261505212427 Highway 231Youngstown, FL 32466Language: EnglishGender: FemaleNPI: 1336454651License: DN19128License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 753-3342Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Youngstown (Cont.)KNOWLES, Laura L.Pancare of Florida Inc(850) 753-3246Prov. No.: 00001261505312427 Highway 231Youngstown, FL 32466Language: EnglishGender: FemaleNPI: 1346778412License: DN22620License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 753-3342Accepts New Patients: YHospital Affiliation: N/A*

MOFFA, Michelle M.Pancare of Florida Inc(850) 753-3246Prov. No.: 00001261505412427 Highway 231Youngstown, FL 32466Language: EnglishGender: FemaleNPI: 1841277407License: DN21740License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 753-3342Accepts New Patients: YHospital Affiliation: N/A*

NORTON, Andrew W.Pancare of Florida Inc(850) 753-3246Prov. No.: 00001261505112427 Highway 231Youngstown, FL 32466Language: EnglishGender: MaleNPI: 1861754020License: DN19745License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 753-3342Accepts New Patients: YHospital Affiliation: N/A*

BAY COUNTY (Cont.)

Youngstown (Cont.)PIORKOWSKI, Gary M.Pancare of Florida Inc(850) 753-3246Prov. No.: 00001261504912427 Highway 231Youngstown, FL 32466Language: EnglishGender: MaleNPI: 1699705434License: DN21660License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 753-3342Accepts New Patients: YHospital Affiliation: N/A*

SALTER, Patricia D.Pancare of Florida Inc(850) 753-3246Prov. No.: 00001263877512427 Highway 231Youngstown, FL 32466Language: EnglishGender: FemaleNPI: 1376609784License: DN17280License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 753-3342Accepts New Patients: YHospital Affiliation: N/A*

WILLIAMS, Sean T.Pancare of Florida Inc(850) 753-3246Prov. No.: 00001313201612427 Highway 231Youngstown, FL 32466Language: EnglishGender: MaleNPI: 1306376512License: DN22573License Type: DBP DentistBoard Certified: Not ReportedEmail: kpurvis@pancarefl. orgFax: (850) 753-3342Accepts New Patients: YHospital Affiliation: N/A*

BRADFORD COUNTY

Starke

FLYNN, George G.George Flynn(904) 551-3083Prov. No.: 000012545021603 E Call StStarke, FL 32091Language: EnglishGender: MaleNPI: 1861761132License: DN 8514License Type: DBP DentistBoard Certified: NEmail: [email protected]: (904) 647-9485Accepts New Patients: YHospital Affiliation: N/A*

MARCHESE, Adam W.Bradford Familt Dentistry(904) 964-7501Prov. No.: 000000251003315 W Call St �Starke, FL 32091Language: EnglishGender: MaleNPI: 1205915659License: DN17179License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (904) 964-7503Accepts New Patients: YHospital Affiliation: N/A*

MARCHESE, William A.Bradford Familt Dentistry(904) 964-7501Prov. No.: 000000190517315 W Call St �Starke, FL 32091Language: EnglishGender: MaleNPI: 1679988414License: DN7455License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (904) 964-7503Accepts New Patients: YHospital Affiliation: N/A*



BREVARD COUNTY

Cocoa

KEARNEY, Deborah L.Deborah L Kearney Dds(321) 635-8533Prov. No.: 000000020392645 Brevard AveCocoa, FL 32922Language: EnglishGender: FemaleNPI: 1306871470License: DN 12914License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

Cocoa Beach

BARATELLI, DiegoCdpg Pl(321) 783-3737Prov. No.: 0000129362465675 N Atlantic Ave Ste 108Cocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1770999617License: DN20692License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BARRERA HAGEN, Maria F.Cdpg Pl(321) 783-3737Prov. No.: A000000240515675 N Atlantic Ave Ste 108Cocoa Beach, FL 32931Language: English, SpanishGender: FemaleNPI: 1730314360License: DN18626License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BREVARD COUNTY (Cont.)

Cocoa Beach (Cont.)BOERS, David W.Island Cosmetic and FamilyDentistry(321) 799-1090Prov. No.: A0000001929441 N Orlando Ave �Cocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1912025867License: DN8821License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 799-1707Accepts New Patients: YHospital Affiliation: N/A*

CARDOSO, GaryChristie Dental Practice GroupInc(321) 783-3737Prov. No.: 0000124274645675 N Atlantic Ave Ste 108Cocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1063824878License: DN21441License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CASTRO, Anibal F.Cdpg Pl(321) 783-3737Prov. No.: 0000129362455675 N Atlantic Ave Ste 108Cocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1316077670License: DN9568License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Cocoa Beach (Cont.)CHE, DavidCocoa Beach Dentistry(321) 783-7411Prov. No.: 000000245992495 Minutemen CswyCocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1952529166License: DN16104License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

CHE, DavidCocoa Beach Dentistry(866) 389-7601Prov. No.: 000012991552465 Minutemen Cswy Unit 495Cocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1952529166License: DN16104License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DREYER, Mark T.Cdpg Pl(321) 783-3737Prov. No.: 0000039169785675 N Atlantic Ave Ste 108Cocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1730277104License: DN11062License Type: DBP DentistBoard Certified: NEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Cocoa Beach (Cont.)GAVUA, EmmanuelCdpg Pl(321) 783-3737Prov. No.: 0000129361545675 N Atlantic Ave Ste 108Cocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1275828980License: DN20580License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KAHLON, Erin J.Cocoa Beach Family Dentistry(321) 783-7415Prov. No.: 00000458951430 Woodland AveCocoa Beach, FL 32931Language: EnglishGender: FemaleNPI: 1982801395License: DN18397License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 783-8444Accepts New Patients: YHospital Affiliation: N/A*

KALRA, Anjay N.Cdpg Pl(321) 783-3737Prov. No.: 0000003897775675 N Atlantic Ave Ste 108Cocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1457364044License: DN15428License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Cocoa Beach (Cont.)ROBBEN, Larry W.L Wayne Robben Dds(321) 784-1300Prov. No.: 0000001274723000 N Atlantic Ave Ste 103Cocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1255433256License: DN4941License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 784-1303Accepts New Patients: YHospital Affiliation: N/A*

SHAH, AnandChristie Dental Practice GroupInc(321) 783-3737Prov. No.: 0000120248355675 N Atlantic AveCocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1619226016License: DN19903License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SHAH, AnandChristie Dental Practice Group(321) 783-3737Prov. No.: 0000122611645675 N Atlantic Ave Ste 108Cocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1619226016License: DN19903License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Cocoa Beach (Cont.)VEVERA, Keith L.Keith Lawrence Vevera(321) 236-6606Prov. No.: 0000121597381980 N Atlantic Ave Ste 1002Cocoa Beach, FL 32931Language: EnglishGender: MaleNPI: 1275632622License: DN 13762License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 236-6614Accepts New Patients: YHospital Affiliation: N/A*

Indialantic

ALVAREZ, Rene S.Rene S Alvarez Dds(321) 724-2757Prov. No.: 000000075410201 S Shannon AveIndialantic, FL 32903Language: EnglishGender: FemaleNPI: 1194845693License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected] mFax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

ZAKHARI, Hanny K.Hanny K Zakhari Dmd(321) 727-8822Prov. No.: 000000190519401 5th AveIndialantic, FL 32903Language: EnglishGender: MaleNPI: 1427598937License: DN12436License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 727-0074Accepts New Patients: YHospital Affiliation: N/A*


Indian Harbour Beac

AHMED, Mohammed M.New Image Dentistry(321) 777-7474Prov. No.: 000012206361257 E Eau Gallie BlvdIndian Harbour Beac, FL 32937Language: EnglishGender: MaleNPI: 1629452545License: DN21406License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 777-7558Accepts New Patients: YHospital Affiliation: N/A*

BIELAK, Paula F.Professional Dental Alliance ofBeachside Pllc(321) 777-7474Prov. No.: 000013025337660 E Eau Gallie BlvdIndian Harbour Beac, FL 32937Language: EnglishGender: FemaleNPI: 1457628505License: DN19535License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DERAKHSHANDEH, TaraProfessional Dental Alliance ofBeachsid(321) 777-7474Prov. No.: 000013011613660 E Eau Gallie Blvd UniT 101Indian Harbour Beac, FL 32937Language: EnglishGender: FemaleNPI: 1609353713License: DN23654License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Indian Harbour Beac (Cont.)DERAKHSHANDEH, TaraProfessional Dental Alliance ofBeachside Pllc(321) 777-7474Prov. No.: 000013039436660 E Eau Gallie Blvd Ste1Indian Harbour Beac, FL 32937Language: EnglishGender: FemaleNPI: 1609353713License: DN23654License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 777-7558Accepts New Patients: YHospital Affiliation: N/A*

DOOMRA, KaranNew Image Dentistry ofBeachside(321) 777-7474Prov. No.: 000012464102257 E Eau Gallie BlvdIndian Harbour Beac, FL 32937Language: English, Hindi,PunjabiGender: MaleNPI: 1942650155License: DN21941License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 777-7558Accepts New Patients: YHospital Affiliation: N/A*

DOOMRA, KaranProfessional Dental Alliance ofBeachside Pllc(321) 777-7474Prov. No.: 000013011602660 E Eau Gallie Blvd UniT 101Indian Harbour Beac, FL 32937Language: English, Hindi,PunjabiGender: MaleNPI: 1942650155License: DN21941License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Indian Harbour Beac (Cont.)DREYER, Mark T.Christie Dentral PracticeGroup Llc(321) 773-1000Prov. No.: 0000039169702000 S Patrick DrIndian Harbour Beac, FL 32937Language: EnglishGender: MaleNPI: 1730277104License: DN11062License Type: DBP DentistBoard Certified: NEmail: [email protected]: (321) 773-6330Accepts New Patients: YHospital Affiliation: N/A*

KALRA, Anjay N.Christie Dental Practice Group(321) 773-1000Prov. No.: 0000013999162000 S Patrick DrIndian Harbour Beac, FL 32937Language: EnglishGender: MaleNPI: 1457364044License: DN15428License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 773-6330Accepts New Patients: YHospital Affiliation: N/A*

KHEZRI, OmidProfessional Dental Alliance ofBeachside Pllc(321) 777-7474Prov. No.: 000013371962660 E Eau Gallie BlvdIndian Harbour Beac, FL 32937Language: EnglishGender: MaleNPI: 1518319250License: DN22027License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Indian Harbour Beac (Cont.)KUMAR, SowmyaNew Image Dentistry(321) 777-7474Prov. No.: 000012182460257 E Eau Gallie BlvdIndian Harbour Beac, FL 32937Language: English, HindiGender: FemaleNPI: 1316354467License: DN20631License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 777-7558Accepts New Patients: YHospital Affiliation: N/A*

LOSASSO, Glenn J.Glenn Losasso Dds Pa(321) 777-8225Prov. No.: 0000000757952020 Highway A1A Ste 105Indian Harbour Beac, FL 32937Language: EnglishGender: MaleNPI: 1649684697License: DN10790License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 777-4121Accepts New Patients: YHospital Affiliation: N/A*

MACEDA-JOHNSON, AntonioProfessional Dental Alliance ofBeachside Pllc(321) 777-7474Prov. No.: 000012990939660 E Eau Gallie BlvdIndian Harbour Beac, FL 32937Language: EnglishGender: MaleNPI: 1386015576License: DN21355License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Indian Harbour Beac (Cont.)MODI, Hiral M.Professional Dental Alliance ofBeachside Pllc(321) 777-7474Prov. No.: 000013000739660 E Eau Gallie Blvd Ste1Indian Harbour Beac, FL 32937Language: EnglishGender: FemaleNPI: 1043573397License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (321) 777-7558Accepts New Patients: YHospital Affiliation: N/A*

MORRIS, Timothy J.Cdpg Pl(321) 773-1000Prov. No.: 0000039178712000 S Patrick DrIndian Harbour Beac, FL 32937Language: EnglishGender: MaleNPI: 1003827569License: DN14096License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

PATEL, Manoj K.Christie Dental Practice GroupLlc(321) 773-1000Prov. No.: 0000016598892000 S Patrick DrIndian Harbour Beac, FL 32937Language: English, HindiGender: MaleNPI: 1881919926License: DN18982License Type: DBP DentistBoard Certified: NEmail: [email protected]: (321) 773-6330Accepts New Patients: YHospital Affiliation: N/A*


Indian Harbour Beac (Cont.)PRICE, Lauren S.Cdpg Pl(321) 773-1000Prov. No.: 0000128744482000 S Patrick DrIndian Harbour Beac, FL 32937Language: English, SpanishGender: FemaleNPI: 1295056299License: DN19007License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

RAMIREZ, LinaNew Image Dentistry(321) 777-7474Prov. No.: 000012609043257 E Eau Gallie BlvdIndian Harbour Beac, FL 32937Language: EnglishGender: FemaleNPI: 1679002604License: DN22606License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 777-7558Accepts New Patients: YHospital Affiliation: N/A*

RAMIREZ, LinaProfessional Dental Alliance ofBeachside Pllc(321) 777-7474Prov. No.: 000012610251660 E Eau Gallie Blvd Ste1Indian Harbour Beac, FL 32937Language: EnglishGender: FemaleNPI: 1679002604License: DN22606License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 777-7558Accepts New Patients: YHospital Affiliation: N/A*




Indian Harbour Beac (Cont.)RAMIREZ, LinaProfessional Dental Alliance ofBeachside Pllc(321) 777-7474Prov. No.: 000013011611660 E Eau Gallie Blvd UniT 101Indian Harbour Beac, FL 32937Language: EnglishGender: FemaleNPI: 1679002604License: DN22606License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SHAH, AnandChristie Dental Practice GroupInc(321) 773-1000Prov. No.: 0000026185072000 S Patrick DrIndian Harbour Beac, FL 32937Language: EnglishGender: MaleNPI: 1619226016License: DN19903License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

SILVERMAN, Ethan L.Professional Dental Alliance ofBeachsid(321) 777-7474Prov. No.: 000013011595660 E Eau Gallie Blvd Ste1Indian Harbour Beac, FL 32937Language: EnglishGender: MaleNPI: 1548748999License: DN23738License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 777-7558Accepts New Patients: YHospital Affiliation: N/A*


Indian Harbour Beac (Cont.)TAPPER, Alexanderos E.Christie Dental Practice GroupInc(321) 773-1000Prov. No.: 0000121513412000 S Patrick DrIndian Harbour Beac, FL 32937Language: EnglishGender: FemaleNPI: 1477960375License: DN20581License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

VIDALON, ChristianNew Image Dentistry ofBeachside(321) 777-7474Prov. No.: 000012611000660 E Eau Gallie Blvd Ste1Indian Harbour Beac, FL 32937Language: EnglishGender: MaleNPI: 1295264232License: DN22595License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 777-7558Accepts New Patients: YHospital Affiliation: N/A*

Melbourne

AHMED, Mohammed M.New Image Dentistry WestMelbourne(321) 956-5664Prov. No.: 0000121801952025 W New Haven AveMelbourne, FL 32904Language: EnglishGender: MaleNPI: 1629452545License: DN21406License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)AHMED, Mohammed M.New Image Dentistry LakeWashington(321) 255-1991Prov. No.: 0000122063603226 Lake Washington Rd STe 16Melbourne, FL 32934Language: EnglishGender: MaleNPI: 1629452545License: DN21406License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

AHMED, Mohammed M.New Image Dentistry Suntree(321) 434-4444Prov. No.: 0000122090057827 N Wickham Rd Ste AMelbourne, FL 32940Language: EnglishGender: MaleNPI: 1629452545License: DN21406License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BARRERA HAGEN, Maria F.Brevard Dental Care(321) 253-1616Prov. No.: 0000128907427025 N Wickham Rd Ste 105 �Melbourne, FL 32940Language: English, SpanishGender: FemaleNPI: 1730314360License: DN18626License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 253-2577Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)BARRERA HAGEN, Maria F.Christie Dental Practice GroupInc(321) 253-5977Prov. No.: A000000240313150 N Wickham Rd Ste 7Melbourne, FL 32935Language: English, SpanishGender: FemaleNPI: 1730314360License: DN18626License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BERNAL, Lissette R.Christie Dental Practice GroupInc(352) 489-5071Prov. No.: 0000032754271390 S Babcock StMelbourne, FL 32901Language: EnglishGender: FemaleNPI: 1437136082License: DN17413License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

BIRCH, Denton R.Valley Forge Dental of FloridaPa(321) 253-0606Prov. No.: 0000002474721770 N Wickham RdMelbourne, FL 32935Language: EnglishGender: MaleNPI: 1629138557License: DN7889License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 253-9848Accepts New Patients: YHospital Affiliation: N/A*




Melbourne (Cont.)BRODY, Robert A.Dental Health Group Pa(321) 676-4080Prov. No.: 000012435053205 Palm Bay Rd NE Ste 159Melbourne, FL 32904Language: EnglishGender: MaleNPI: 1295830438License: DN10219License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 676-5590Accepts New Patients: YHospital Affiliation: N/A*

BUNKER, Ioulia Y.Dental Choice of Melbourne(321) 600-4487Prov. No.: 000012997413402 N Babcock St Ste 103Melbourne, FL 32935Language: English, RussianGender: FemaleNPI: 1790800449License: DN18754License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 622-6630Accepts New Patients: YHospital Affiliation: N/A*

CHOU, Victor L.Christie Dental Practice GroupInc(321) 253-5977Prov. No.: 0000125915413150 N Wickham Rd Ste 7Melbourne, FL 32935Language: EnglishGender: MaleNPI: 1558741249License: DN21203License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)CONSTANTIN, SeriojaDynamic Dental HealthAssociates of Florida Pa(321) 428-2404Prov. No.: 0000128508712419 S Babcock StMelbourne, FL 32901Language: EnglishGender: MaleNPI: 1225219819License: DN14975License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DERAKHSHANDEH, TaraNew Image Dentistry Suntree(321) 434-4444Prov. No.: 0000129910037827 N Wickham Rd Ste AMelbourne, FL 32940Language: EnglishGender: FemaleNPI: 1609353713License: DN23654License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DERAKHSHANDEH, TaraProfessional Dental Alliance ofLake Was(321) 255-1991Prov. No.: 0000129958453226 Lake Washington Rd STe 16Melbourne, FL 32934Language: EnglishGender: FemaleNPI: 1609353713License: DN23654License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)DERAKHSHANDEH, TaraProfessional Dental Alliance ofWest Melbourne Pll(321) 956-5664Prov. No.: 0000132932142025 W New Haven AveMelbourne, FL 32904Language: EnglishGender: FemaleNPI: 1609353713License: DN23654License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DIPASQUALE, Anthony G.Dr Anthony G DipasqualeDmd(321) 259-5100Prov. No.: 000000067029115 Capron TrlMelbourne, FL 32940Language: EnglishGender: MaleNPI: 1437198249License: DN12448License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 259-3567Accepts New Patients: YHospital Affiliation: N/A*

DOOMRA, KaranNew Image Dentistry Suntree(321) 434-4444Prov. No.: 0000124434647827 N Wickham Rd Ste AMelbourne, FL 32940Language: English, Hindi,PunjabiGender: MaleNPI: 1942650155License: DN21941License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)DOOMRA, KaranNew Image Dentistry WestMelbourne(321) 956-5664Prov. No.: 0000124435062025 W New Haven AveMelbourne, FL 32904Language: English, Hindi,PunjabiGender: MaleNPI: 1942650155License: DN21941License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DOOMRA, KaranNew Image Dentistry LakeWashington(321) 255-1991Prov. No.: 0000124435113226 Lake Washington Rd STe 16Melbourne, FL 32934Language: English, Hindi,PunjabiGender: MaleNPI: 1942650155License: DN21941License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

DORSEY, Cassandra L.Viera Dental(321) 433-1022Prov. No.: 0000012455586709 Colonnade Ave Ste 10 �1Melbourne, FL 32940Language: EnglishGender: FemaleNPI: 1629363940License: DN19359License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*




Melbourne (Cont.)DREYER, Mark T.Christie Dental Practice Group(321) 259-5257Prov. No.: 0000039169826300 N Wickham Rd Ste 121Melbourne, FL 32940Language: EnglishGender: MaleNPI: 1730277104License: DN11062License Type: DBP DentistBoard Certified: NEmail:Fax: (321) 254-5333Accepts New Patients: YHospital Affiliation: N/A*

ELEY, Daniel W.Eley Family Dentistry Pa(321) 622-8711Prov. No.: 0000115500392301 W Eau Gallie Blvd StE 102Melbourne, FL 32935Language: EnglishGender: MaleNPI: 1952696007License: DN19369License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 622-8712Accepts New Patients: YHospital Affiliation: N/A*

GALLIGAN, Kristina M.Bright Now Dental -Melbourne(866) 898-1379Prov. No.: 0000120482601770 N Wickham RdMelbourne, FL 32935Language: EnglishGender: FemaleNPI: 1578970091License: DN20737License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 253-9797Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)GARCIA, JanDental Care of WestMelbourne(321) 327-2427Prov. No.: 000012487364715 Palm Bay Rd NE Unit 107Melbourne, FL 32904Language: English, SpanishGender: MaleNPI: 1982016051License: DN20598License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GEORGE, KirenDynamic Dental HealthAssociates of Florida Pa(321) 428-2404Prov. No.: 0000135849842419 S Babcock StMelbourne, FL 32901Language: EnglishGender: FemaleNPI: 1225690829License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GODOY, Natalie A.Viera Dental(321) 433-1022Prov. No.: 0000128859066709 Colonnade Ave Ste 10 �1Melbourne, FL 32940Language: EnglishGender: FemaleNPI: 1992250591License: DN21965License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)GONZALEZ FERGUSON, Alejandra M.Portofino Bay Dental Care(321) 254-8119Prov. No.: 0000127746756340 N Wickham Rd Unit 101Melbourne, FL 32940Language: EnglishGender: FemaleNPI: 1821441940License: DN21967License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

GROSSO-WOOLDRIDGE, Maria E.Coast Dental- Melbourne(321) 255-6303Prov. No.: 0000130455357777 N Wickham Rd Ste 4 �Melbourne, FL 32940Language: English, French,Italian, Portuguese, SpanishGender: FemaleNPI: 1285768630License: DN13240License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 255-6710Accepts New Patients: YHospital Affiliation: N/A*

HART, Dennis A.Coast Dental-Melbourne(321) 255-6303Prov. No.: 0000134992547777 N Wickham Rd Ste 4Melbourne, FL 32940Language: EnglishGender: MaleNPI: 1467012971License: DN24183License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)HERNANDEZ, David A.David A Hernandez Dds(321) 427-6282Prov. No.: 0000016566661715 Berglund Ln Ste A �Melbourne, FL 32940Language: English, SpanishGender: MaleNPI: 1922169325License: DN15029License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

IURCOVICH, Maximillian O.Dental Health Group Pa(321) 676-4080Prov. No.: 000001250365205 Palm Bay Rd NE Ste 159Melbourne, FL 32904Language: EnglishGender: FemaleNPI: 1366776965License: DN18839License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 676-5590Accepts New Patients: YHospital Affiliation: N/A*

KALRA, Anjay N.Christie Dental(321) 259-5257Prov. No.: 0000002965526300 N Wickham Rd Ste 121Melbourne, FL 32940Language: EnglishGender: MaleNPI: 1457364044License: DN15428License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 254-5333Accepts New Patients: YHospital Affiliation: N/A*




Melbourne (Cont.)KALRA, Anjay N.Christie Dental Practice GroupInc(321) 253-5977Prov. No.: 0000013999223150 N Wickham Rd Ste 7Melbourne, FL 32935Language: EnglishGender: MaleNPI: 1457364044License: DN15428License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KALRA, Anjay N.Christie Dental Practice GroupLlc(321) 728-4546Prov. No.: A000000234781390 S Babcock StMelbourne, FL 32901Language: EnglishGender: MaleNPI: 1457364044License: DN15428License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 728-2621Accepts New Patients: YHospital Affiliation: N/A*

KANE, Donald L.Valley Forge Dental of FloridaPa(321) 253-0606Prov. No.: 0000000222741770 N Wickham RdMelbourne, FL 32935Language: EnglishGender: MaleNPI: 1770644098License: DN3689License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 253-9848Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)KEDZIERSKI, Mark A.Mark A Kedzierski Dds(321) 254-0306Prov. No.: 0000012637172990 Business Center BlvdMelbourne, FL 32940Language: EnglishGender: MaleNPI: 1710184973License: DN17178License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 254-0348Accepts New Patients: YHospital Affiliation: N/A*

KEYES, William C.Dynamic Dental HealthAssociates of Florida Pa(321) 428-2404Prov. No.: 0000122506172419 S Babcock StMelbourne, FL 32901Language: English, SpanishGender: MaleNPI: 1710140702License: DN18463License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

KHEZRI, OmidProfessional Dental Alliance ofWest Melbourne Pll(321) 956-5664Prov. No.: 0000133719502025 W New Haven AveMelbourne, FL 32904Language: EnglishGender: MaleNPI: 1518319250License: DN22027License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)KLEIMAN, Alisa M.Dentists of Melbourne(321) 420-4142Prov. No.: 0000129101636455 N Wickham Rd Ste 103Melbourne, FL 32940Language: EnglishGender: FemaleNPI: 1891281697License: DN23235License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (303) 952-0892Accepts New Patients: YHospital Affiliation: N/A*

KUMAR, Sadesh A.Wickman Dental Care(321) 956-0999Prov. No.: 0000004211242960 Bush Dr �Melbourne, FL 32935Language: EnglishGender: MaleNPI: 1861405565License: DN17073License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 752-4274Accepts New Patients: NHospital Affiliation: N/A*

KUMAR, SowmyaNew Image Dentistry(321) 255-1991Prov. No.: 0000121824253226 Lake Washington Rd S �Te 16Melbourne, FL 32934Language: English, HindiGender: FemaleNPI: 1316354467License: DN20631License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 752-0011Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)KUMAR, SowmyaJose Guerra Chico(321) 434-4444Prov. No.: 0000121824267827 N Wickham Rd Ste 1A �Melbourne, FL 32940Language: English, HindiGender: FemaleNPI: 1316354467License: DN20631License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: (321) 751-7161Accepts New Patients: YHospital Affiliation: N/A*

KURIAN, JamieProfessional Dental Alliance ofWest Melbourne Pll(321) 956-5664Prov. No.: 0000120614852025 W New Haven AveMelbourne, FL 32904Language: EnglishGender: FemaleNPI: 1831486331License: DN19771License Type: DBP DentistBoard Certified: NEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

LAPOINTE, VincentWickman Dental Care(321) 956-0999Prov. No.: 0000132552902960 Bush Dr �Melbourne, FL 32935Language: EnglishGender: MaleNPI: 1164401576License: DN21490License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 752-4274Accepts New Patients: YHospital Affiliation: N/A*




Melbourne (Cont.)LEMUS, ValerieViera Modern Dentistry(321) 203-5251Prov. No.: 0000129333942328 Citadel Way Ste 101Melbourne, FL 32940Language: EnglishGender: FemaleNPI: 1154807394License: DN23684License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (714) 252-6299Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Sara C.Harbor City Dental(321) 259-2161Prov. No.: 00001296705017 Nelson Ave �Melbourne, FL 32935Language: EnglishGender: FemaleNPI: 1437406956License: DN19880License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (321) 259-2728Accepts New Patients: YHospital Affiliation: N/A*

MABRY, JeffreyMabry Dental Care(321) 254-6322Prov. No.: 0000003732442261 Sarno RdMelbourne, FL 32935Language: EnglishGender: MaleNPI: 1790807741License: DN 17774License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*


Melbourne (Cont.)MAO, SongCdpg Pl(321) 728-4546Prov. No.: 0000124680391390 S Babcock StMelbourne, FL 32901Language: EnglishGender: FemaleNPI: 1538549001License: DN21228License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MARSHALL, Kara H.Dental 192(630) 569-5293Prov. No.: 000009755521100 W New Haven AveMelbourne, FL 32901Language: EnglishGender: FemaleNPI: 1295956134License: DN17681License Type: DBP DentistBoard Certified: Not ReportedEmail:Fax: ( ) -Accepts New Patients: YHospital Affiliation: N/A*

MCCANN LEE, Katie L.Viera Modern Dentistry(321) 203-5251Prov. No.: 0000126579372328 Citadel Wa

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