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FLORIDA MEDICAID CHILDPROVIDER DIRECTORY / DIRECTORIO DE PROVEEDORESMember Services / Servicios para miembros : (833) 276-0850ALACHUA COUNTYDENTIST# RHC010936NPI: 1992796973 LIC: HAD56# DN25141FL Le, LynnNPI: 1336750470 LIC: DN25141FL# DN20873 Lopez, Melvin# DN19484 Jones, Stephanie# DTP675 Camargo, CarlosNPI: 1548549678 LIC: DN19484NPI: 1518459312 LIC: DTP675# DN21933 Vu, ClaraGeneral Dentist servicing as:Pediatric DentistryAcorn ClinicGeneral Dentist servicing as:Pediatric DentistryNPI: 1235589482 LIC: DN2193323320 N. State Rd, Ste 235NPI: 1689081242 LIC: DN20873CERTIFICATIONS:Brooker, FL 32622(352) 485-2772Special Needs: YesEnglish, Spanish, GujaratiM-T 8am - 4pmW-Th 8am - 4pm# DN8024 Aguirre, MichaelNPI: 1740388800 LIC: DN8024# DN18987 Bhakta, PaayalNPI: 1033439823 LIC: DN18987# DN9374 Hsiung, EdwinNPI: 1417389586 LIC: DN9374# DN19484 Jones, StephanieNPI: 1548549678 LIC: DN19484# DN21295 Luaces, OlgaNPI: 1407237555 LIC: DN21295# DN6188 Witt, WilliamNPI: 1417987967 LIC: DN6188# FQHC010440Aza Health410 Ne Waldo RoadGainesville, FL 32641(352) 375-3790Special Needs: Yes# DN16033FL Nguyen, DanielNPI: 1134238892 LIC: DN16033FL# DN20946FL Nguyen, DavidNPI: 1811398423 LIC: DN20946FL# DN12941 Pairot, AlfredoGeneral Dentist servicing as:Pediatric DentistryNPI: 1932174448 LIC: DN12941# CHC014623DOH - Alachua CountyHealth Department# 020933Prairie Dental Center6320 Sw 13Th St(352) 373-3431Special Needs: NoEnglish, Farsi, Persian# DN13800 Abolverdi, Shaun(352) 334-8839Special Needs: YesGeneral Dentist servicing as:EndodonticsEnglish, Russian, Bulgarian,German, Italian, SpanishM-T 8am - 5pmNPI: 1669511598 LIC: DN13800# 010755NPI: 1669887485 LIC: DTP603# DTP639 Dias Ribeiro, AnaNPI: 1053860924 LIC: DTP639# DN13471 Dilbone, DeborahNPI: 1104882497 LIC: DN13471# DN16318 Djuric, AmiraNPI: 1033291471 LIC: DN16318# DN8807FL Garvey, TimothyNPI: 1205892296 LIC: DN8807FL# DTP400 Gibbs, MicaelaNPI: 1902862469 LIC: DTP400# DTP710 Gohel, RajendraNPI: 1912071754 LIC: DTP710University of Florida Collegeof Dentistry# DTP680 Guha, UpomaGeneral Dentist servicing as:Pediatric Dentistry1600 Sw Archer Road# DN7710 Haddix, JamesNPI: 1235589482 LIC: DN21933www.dental.ufl.eduCERTIFICATIONS:(352) 273-6731Special Needs: Yes# DN21933 Vu, Clara Inhalation SedationW-F 8am - 5pmDOH - Alachua CountyHealth Department# DN15770 Halady, Pratima224 Se 24Th StGeneral Dentist servicing as:Pediatric Dentistry# DTP630 Delgado Caraballo,# DTP603 Delgado, Alejandro Inhalation SedationM-T 8am - 4:30 pmM-T 8am - 5pm# HAD56 Krotzinger, MaryNPI: 1144656232 LIC: DN20352FLCERTIFICATIONS:Gainesville, FL 32607# CHC017031NPI: 1720256811 LIC: DN15770# DN20352FL Corasro, AndrewMariaNPI: 1003274002 LIC: DTP630816 Sw 64Th TerranceW-F 8am - 5pmNPI: 1902813777 LIC: DN8382NPI: 1851527303 LIC: DN18661# DN18661 Whitford, DrewGainesville, FL 32608English, SpanishGeneral Dentist servicing as:Pediatric Dentistry Inhalation Sedation# DN8382 Cook, LarryGainesville, FL 32641Gainesville, FL 32610English, OtherM-T 8am - 5pmW-F 8am - 5pm# DN14714 Barnes, DavidNPI: 1467667451 LIC: DN14714(352) 334-8839Special Needs: Yes# DN24628FL Bauman, EricEnglish, Spanish# DN7077 Benjamin, PaulM-T 8am - 5pmW-F 8am - 5pmNPI: 1114017209 LIC: DN24628FLNPI: 1225057128 LIC: DN7077NPI: 1184153132 LIC: DTP680NPI: 1336105709 LIC: DN7710# DTP672 Haddock, FernandoNPI: 1477531234 LIC: DTP672# DN9870 Kaleel, NicholasNPI: 1447258991 LIC: DN9870# DN8554FL Kelowitz, RichardNPI: 1184834384 LIC: DN8554FL# DN21295 Luaces, OlgaNPI: 1407237555 LIC: DN21295# DTP659 Migliorati, CesarNPI: 1992810519 LIC: DTP659CERTIFICATIONS:LIBERTY Dental Plan network provider rating is based on quality measures and service.Overall ratings range from 1 star to 5 stars, with the more stars shows higher quality.The provider directory is subject to change without notice.Languages spoken by the offices are reported. The languages are not verified by LIBERTY Dental Plan.If you need to access LIBERTY’s free interpretation services please call the number listed on your ID card.To view current providers, please visit our website, www.libertydentalplan.com/FLMedicaid.June, 2021El directorio de proveedores está sujeto a cambios sin previo aviso.Los idiomas que se hablan en las oficinas seran reportados. Los idiomas no son verificados por LIBERTY Dental Plan.Si necesita usar los servicios gratuitos de interpretación de LIBERTY, llame al número que aparece en su tarjeta de identificación.Para ver los proveedores actuales, visite nuestro sitio web, www.libertydentalplan.com/FLMedicaid.* Closed to new members / Cerrado para nuevos miembros.Wheelchair access / Acceso para personas en silla de ruedas.Page 1 of 26206/21/2021 v2(2020)
FLORIDA MEDICAID CHILDPROVIDER DIRECTORY / DIRECTORIO DE PROVEEDORESMember Services / Servicios para miembros : (833) 276-0850 Inhalation Sedation# DTP497 Nascimento, Marcelle1905 Nw 13Th Street, Ste 2NPI: 1659337590 LIC: DTP232M-T 8am - 5pmGainesville, FL 32609CERTIFICATIONS:W-F 8am - 5pm(352) 375-7776Special Needs: NoNPI: 1275706426 LIC: DTP497# DTP702 Oliveira, DayaneNPI: 1487204178 LIC: DTP702# DN16197 Orlando, JosephEnglish, Spanish, French# DTP664 Freburg-Hoffmeister,M-T 8am - 5pmDanielleNPI: 1447545132 LIC: DTP664W-F 8am - 5pmNPI: 1326176389 LIC: DN16197# DN24834FL Jordan-Gonzalez,NPI: 1306802293 LIC: DN8944MichelleNPI: 1689192627 LIC: DN24834FLCERTIFICATIONS:# DN23014 Natera-Fernandez,# DN8944 Ottenga, Marc Inhalation SedationNPI: 1437535218 LIC: DTP612# DN14930 Rey, RosaliaGainesville, FL 32610# DTP490 Ribeiro-DaSilva,www.dental.ufl.eduMargareteNPI: 1326228321 LIC: DTP490(352) 273-6731Special Needs: Yes# DTP562 Roulet, Jean-FrancoisNPI: 1649619347 LIC: DN20154# DTP652 Soto, AnnettyNPI: 1780024315 LIC: DTP652# DN22024 Terza, StephanniNPI: 1588014591 LIC: DN22024ENDODONTICS# 022671North Central FloridaEndodonticsNPI: 1548523665 LIC: DN19786 Inhalation Sedation General Anesthesia Board Certification# DTP718 Vyas, RutviNPI: 1710463013 LIC: DTP718ORTHODONTIST# 010955# DTP654 Bakiri, EleonoraJoseph M Waldron, DDS# DN14544 Cerrud, ClinioNPI: 1629184676 LIC: DN14544CERTIFICATIONS: Inhalation Sedation# DTP700 Marchesan, MelissaNPI: 1427359678 LIC: DTP700# DTP450 Pileggi, Roberta611 Nw 60Th Street, Ste AGainesville, FL 32607(352) 331-5622Special Needs: NoEnglishM-T 9am - 5pm# DN6502 Waldron, Joseph*NPI: 1063623635 LIC: DN6502NPI: 1356393821 LIC: DTP450# 010755CERTIFICATIONS:University of Florida Collegeof Dentistry Inhalation Sedation Board Certification# DTP701 Vieira Ozorio, JoseNPI: 1588111710 LIC: DTP701ORAL SURGEON# DTP232 Dolwick, MelvinNPI: 1881650331 LIC: DN13393CERTIFICATIONS: Board Certification# DN15392 Donatelli, RichardNPI: 1942387535 LIC: DN15392# DTP715FL KaranthHuttinagadde, DivakarNPI: 1164049458 LIC: DTP715FL# DT394 Neubert, JohnNPI: 1760448989 LIC: DT394PEDIATRIC DENTISTRYNPI: 1447343918 LIC: DN12910W-F 8am - 5pmNPI: 1952834418 LIC: DTP654# DN13393 Dolce, CalogeroCERTIFICATIONS:M-T 8am - 5pmNPI: 1376193060 LIC: DTP703# DN20154 Sley, Allison*# DN19786 Hamrick, ClaytonEnglish, Other# DTP703 Rocha, MateusNPI: 1932452547 LIC: DTP645NPI: 1841563947 LIC: DTP709# DN12910 Hardeman, John1600 Sw Archer RoadNPI: 1346341443 LIC: DN14930# DTP645 Silva, Maria# DTP709 Gohel, AnitaUniversity of Florida Collegeof DentistryNPI: 1891278768 LIC: DTP683NPI: 1942654546 LIC: DTP669 Inhalation Sedation# 010755# DTP683 Reis, Andre# DTP669 Sikand, RebeccaCERTIFICATIONS:MarianellaNPI: 1073061297 LIC: DN23014# DTP612 Pereira, PatriciaNPI: 1831539816 LIC: DTP562 Inhalation Sedation Board Certification1600 Sw Archer RoadGainesville, FL 32610www.dental.ufl.edu(352) 273-6731Special Needs: YesEnglish, Other# RHC010936Acorn Clinic23320 N. State Rd, Ste 235Brooker, FL 32622(352) 485-2772Special Needs: YesEnglish, Spanish, GujaratiM-T 8am - 4pmW-Th 8am - 4pm# DTP720 Carey, TeemarNPI: 1538549951 LIC: DTP720# DN18234 Perez, EdnaNPI: 1962536714 LIC: DN18234CERTIFICATIONS: Inhalation Sedation Board Certification# 011100Millhopper PediatricDentistry, PL2341 Nw 41St StGainesville, FL 32606(352) 336-3939Special Needs: YesEnglish, SpanishM-T 8am - 4pm# DN15273 Beaufait, NguyetLIBERTY Dental Plan network provider rating is based on quality measures and service.Overall ratings range from 1 star to 5 stars, with the more stars shows higher quality.The provider directory is subject to change without notice.Languages spoken by the offices are reported. The languages are not verified by LIBERTY Dental Plan.If you need to access LIBERTY’s free interpretation services please call the number listed on your ID card.To view current providers, please visit our website, www.libertydentalplan.com/FLMedicaid.June, 2021El directorio de proveedores está sujeto a cambios sin previo aviso.Los idiomas que se hablan en las oficinas seran reportados. Los idiomas no son verificados por LIBERTY Dental Plan.Si necesita usar los servicios gratuitos de interpretación de LIBERTY, llame al número que aparece en su tarjeta de identificación.Para ver los proveedores actuales, visite nuestro sitio web, www.libertydentalplan.com/FLMedicaid.* Closed to new members / Cerrado para nuevos miembros.Wheelchair access / Acceso para personas en silla de ruedas.Page 2 of 26206/21/2021 v2(2020)
FLORIDA MEDICAID CHILDPROVIDER DIRECTORY / DIRECTORIO DE PROVEEDORESMember Services / Servicios para miembros : (833) 276-0850NPI: 1457380719 LIC: DN15273# DN11385 Traul Jr., Robert# DTP687 Duarte Reis, PolianaCERTIFICATIONS:NPI: 1982734257 LIC: DN11385NPI: 1619448677 LIC: DTP687 Pediatric Conscious Sedation Inhalation Sedation Board Certification# DTP638 Duarte, WagnerBAY COUNTYNPI: 1407305022 LIC: DTP638DENTIST# DN21876 Schey, Karin# 010755University of Florida Collegeof Dentistry1600 Sw Archer RoadPROSTHODONTICSEnglish, OtherM-T 8am - 5pmW-F 8am - 5pm# DTP437 Adewumi, Abimbola*NPI: 1285690636 LIC: DTP437 Inhalation Sedation Board Certification# DN18871 Pate, SheenaNPI: 1235195413 LIC: DTP439BAKER COUNTYDENTIST# CHC013141CERTIFICATIONS:480 W. Lowder StMacclenny, FL 32063baker.web@flhealth.gov(904) 259-9815Special Needs: YesEnglishNPI: 1962536714 LIC: DN18234M-T 8am - 5pmCERTIFICATIONS:# DN11663 Bridges, Catherine# DTP606 Chang, JiaNPI: 1871862029 LIC: DTP606# DN21740 Moffa, MichelleW-F 7:30 am - 4:30 pm# DTP467 Esquivel-Upshaw,NPI: 1972568848 LIC: DTP418PERIODONTICSNPI: 1245336031 LIC: DN13094# DN19745 Norton, AndrewNPI: 1144286386 LIC: DTP390DOH - Baker County HealthDepartment Inhalation Sedation Board Certification# DN13094 Hudon, RichardEnglish, Spanish, Hindi, Punjabi,UrduM-T 7:30 am - 4:30 pmCERTIFICATIONS:# DN18234 Perez, EdnaPanama City, FL 32404NPI: 1043688831 LIC: DN25097# DTP390 Echeto, LuisaNPI: 1689125742 LIC: DN22995NPI: 1033474176 LIC: DN209153518 E. 15Th St# DN25097 Haynam, Eric(850) 872-4455Special Needs: Yes# DN22995 Connell, Christopher# DN20915 Moore, Ronda# DN19128 Claussen, MeghannHttp://bay.floridahealth.govNPI: 1538549951 LIC: DTP720 Inhalation Sedation Board CertificationNPI: 1497826531 LIC: DN10365FLAlexandreNPI: 1962004408 LIC: DTP722FL# DTP439 O'Neill, Edgar# DTP720 Carey, Teemar*# DN10365FL Barry, Steven# DTP722FL Cabrera da Silva,JosephineNPI: 1760495527 LIC: DTP467CERTIFICATIONS:# DTP418 Guelmann, MarcioDOH - Bay County HealthDepartmentNPI: 1407208853 LIC: DTP690(352) 273-6731Special Needs: Yes Inhalation Sedation# CHC10280# DTP690 Tanaka, Tsuyoshiwww.dental.ufl.eduW-F 8am - 5pmNPI: 1336454651 LIC: DN19128NPI: 1285086173 LIC: DN21876Gainesville, FL 32610M-T 8am - 5pmNPI: 1659309821 LIC: DN11663# DN18785 Patel, ViralNPI: 1881917540 LIC: DN18785CERTIFICATIONS: Inhalation Sedation# DN21103 Ghani, RehanNPI: 1316333230 LIC: DN21103CERTIFICATIONS: Inhalation SedationGeneral Dentist servicing as:NPI: 1841277407 LIC: DN21740NPI: 1861754020 LIC: DN19745General Dentist servicing as:Pediatric DentistryNPI: 1215255880 LIC: DN18871# DN21660 Piorkowski, GaryGeneral Dentist servicing as:# 010672Eric R. Claussen D.M.D., P.A.2624 Jenks AvePanama City, FL 32405NPI: 1699705434 LIC: DN21660# DN23084 Santos, IrisNPI: 1487875233 LIC: DN23084(850) 215-0798Special Needs: Yes# HAD69 Smith, AmyEnglish# DN18668 Van Dyke,M-T 8am - 4pmW-F 8am - 4pmKanyaratanaNPI: 1003122656 LIC: DN18668# DN17200 Fleigel III, Jeffrey# HAD65 Wilhite, RhondaNPI: 1831209899 LIC: HAD69NPI: 1336357748 LIC: DN17200General Dentist servicing as:CERTIFICATIONS:NPI: 1952496341 LIC: HAD65 Board Certification# FQHC022012# DN22573 Williams, SeanNPI: 1306376512 LIC: DN22573PanCare of Florida12427 Hwy 231# FQHC010683Youngstown, FL 32466PanCare of Florida, Inc.(850) 753-3246Special Needs: Yes403 E. 11Th StEnglishPanama City, FL 32401(850) 767-3350LIBERTY Dental Plan network provider rating is based on quality measures and service.Overall ratings range from 1 star to 5 stars, with the more stars shows higher quality.The provider directory is subject to change without notice.Languages spoken by the offices are reported. The languages are not verified by LIBERTY Dental Plan.If you need to access LIBERTY’s free interpretation services please call the number listed on your ID card.To view current providers, please visit our website, www.libertydentalplan.com/FLMedicaid.June, 2021El directorio de proveedores está sujeto a cambios sin previo aviso.Los idiomas que se hablan en las oficinas seran reportados. Los idiomas no son verificados por LIBERTY Dental Plan.Si necesita usar los servicios gratuitos de interpretación de LIBERTY, llame al número que aparece en su tarjeta de identificación.Para ver los proveedores actuales, visite nuestro sitio web, www.libertydentalplan.com/FLMedicaid.* Closed to new members / Cerrado para nuevos miembros.Wheelchair access / Acceso para personas en silla de ruedas.Page 3 of 26206/21/2021 v2(2020)
FLORIDA MEDICAID CHILDPROVIDER DIRECTORY / DIRECTORIO DE PROVEEDORESMember Services / Servicios para miembros : (833) 276-0850Special Needs: YesPanama City, FL 32405English, Spanishwww.royaldentalpanamacity.comM-T 8am - 5pmW-F 8am - 5pm(850) 740-3100Special Needs: Yes# DN10365FL Barry, StevenEnglish, Arabic, SpanishNPI: 1497826531 LIC: DN10365FL# DN19128 Claussen, MeghannNPI: 1336454651 LIC: DN19128# DN25097 Haynam, EricNPI: 1043688831 LIC: DN25097NPI: 1841277407 LIC: DN21740# DN19745 Norton, AndrewNPI: 1861754020 LIC: DN19745# DN18871 Pate, SheenaGeneral Dentist servicing as:Pediatric DentistryNPI: 1215255880 LIC: DN18871# DN21660 Piorkowski, GaryORTHODONTIST# 011426W-Th 8am - 5pmAdvanced Orthodontics# DN21597 Abdulrahim, Yahia2202 State AveGeneral Dentist servicing as:Pediatric DentistryNPI: 1184092603 LIC: DN21597ENDODONTICSNPI: 1245336031 LIC: DN13094General Dentist servicing as:NPI: 1275527137 LIC: DN23806M-T 8am - 5pm# DN13094 Hudon, Richard# DN21740 Moffa, Michelle# DN23806 Long, LarryPanama City, FL 32405https://www.advancedorthodontics.info/(850) 296-8665Special Needs: YesEnglish# 018484Hanson Endodontics2999 W 10Th StPanama City, FL 32401www.hansonendo.com(850) 215-3339Special Needs: YesEnglishM-T 8am - 4pmM-T 8:30 am - 5pm# DN19214 Kovaleski, LaurenCERTIFICATIONS: Inhalation Sedation# DN24675 Harrell, Robbie*NPI: 1780113944 LIC: DN24675# DN23264 Johnson, Patrick*NPI: 1770932402 LIC: DN23264CERTIFICATIONS: Inhalation Sedation# DN20298 Lapointe, Lisa*NPI: 1336454701 LIC: DN20298CERTIFICATIONS: Pediatric Conscious Sedation Inhalation Sedation Board Certification# DN22673FL Thomas, Michelle*NPI: 1710408455 LIC: DN22673FLNPI: 1366754558 LIC: DN19214BREVARD COUNTY# DN10667 Wheeler, TimothyDENTISTNPI: 1558328153 LIC: DN10667CERTIFICATIONS: Board CertificationPEDIATRIC DENTISTRY# FQHC011681Brevard Health Alliance2120 Sarno Rd# DN17872 Hanson, ShaneGeneral Dentist servicing as:NPI: 1710907787 LIC: DN17872# 010734Melbourne, FL 32935NPI: 1699705434 LIC: DN21660CERTIFICATIONS:Panhandle PediatricDentistry, PLLC(321) 241-6800Special Needs: Yes# DN23084 Santos, Iris Inhalation SedationORAL SURGEONNPI: 1487875233 LIC: DN23084# HAD69 Smith, Amy3123 W. 23Rd StPanama City, FL 324052624 Jenks Avewww.panhandlepediatricdentistry.com(850) 481-1969Special Needs: YesPanama City, FL 32405English(850) 215-0798Special Needs: YesM-T 8:30 am - 4:30 pmGeneral Dentist servicing as:EnglishNPI: 1952496341 LIC: HAD65M-T 8am - 4pm# DN16280 Berry, Stephen Eric*NPI: 1831209899 LIC: HAD69# DN18668 Van Dyke,KanyaratanaNPI: 1003122656 LIC: DN18668# HAD65 Wilhite, Rhonda# DN22573 Williams, SeanNPI: 1306376512 LIC: DN22573# 010672Eric R. Claussen D.M.D., P.A.W-F 8am - 4pm# DN17080 Claussen, EricNPI: 1194983965 LIC: DN17080# 014966Royal Dental2335 State Ave Ste ACERTIFICATIONS: Inhalation Sedation General AnesthesiaW-Th 8:30 am - 4:30 pmNPI: 1699889352 LIC: DN16280CERTIFICATIONS: Pediatric Conscious Sedation Inhalation Sedation Board Certification# DN23156 Fujawa, Douglas*NPI: 1336541135 LIC: DN23156English, SpanishM-T 8am - 5pmW-F 8am - 5pm# DN24790FL Adeniyi, AdetolaNPI: 1598217069 LIC: DN24790FL# HAD82 Alongi, JenniferGeneral Dentist servicing as:Pediatric DentistryNPI: 1306139019 LIC: HAD82CERTIFICATIONS: Inhalation Sedation# DN22332FL Baddour, MaryNPI: 1730630633 LIC: DN22332FL# DN14021 Cheshire, GregoryGeneral Dentist servicing as:Pediatric DentistryNPI: 1952303059 LIC: DN14021LIBERTY Dental Plan network provider rating is based on quality measures and service.Overall ratings range from 1 star to 5 stars, with the more stars shows higher quality.The provider directory is subject to change without notice.Languages spoken by the offices are reported. The languages are not verified by LIBERTY Dental Plan.If you need to access LIBERTY’s free interpretation services please call the number listed on your ID card.To view current providers, please visit our website, www.libertydentalplan.com/FLMedicaid.June, 2021El directorio de proveedores está sujeto a cambios sin previo aviso.Los idiomas que se hablan en las oficinas seran reportados. Los idiomas no son verificados por LIBERTY Dental Plan.Si necesita usar los servicios gratuitos de interpretación de LIBERTY, llame al número que aparece en su tarjeta de identificación.Para ver los proveedores actuales, visite nuestro sitio web, www.libertydentalplan.com/FLMedicaid.* Closed to new members / Cerrado para nuevos miembros.Wheelchair access / Acceso para personas en silla de ruedas.Page 4 of 26206/21/2021 v2(2020)
FLORIDA MEDICAID CHILDPROVIDER DIRECTORY / DIRECTORIO DE PROVEEDORESMember Services / Servicios para miembros : (833) 276-0850CERTIFICATIONS: Inhalation Sedation# DN13760 Hachmeister, KevinNPI: 1811922966 LIC: DN13760# DN20658 Smith, RossGeneral Dentist servicing as:Pediatric DentistryNPI: 1245626811 LIC: DN20658CERTIFICATIONS: Inhalation Sedation# DN24606FL Youssef, RabieNPI: 1285284695 LIC: DN24606FL# FQHC011682Brevard Health Alliance220 Barton Blvd, Unit C14Rockledge, FL 32955(321) 639-5177Special Needs: YesEnglish, SpanishM-T 8am - 7pmW-Th 8am - 7pm# DN24790FL Adeniyi, Adetola*NPI: 1598217069 LIC: DN24790FL# HAD82 Alongi, Jennifer*General Dentist servicing as:Pediatric Dentistry611 N. Singleton AveCERTIFICATIONS:NPI: 1326491093 LIC: DN21925(321) 637-7300Special Needs: Yes# DN13760 Hachmeister, Kevin*NPI: 1811922966 LIC: DN13760# DN20658 Smith, Ross*General Dentist servicing as:Pediatric DentistryNPI: 1245626811 LIC: DN20658CERTIFICATIONS: Inhalation Sedation# DN24606FL Youssef, Rabie*NPI: 1285284695 LIC: DN24606FL# FQHC016241Brevard Health Alliance7227 N. Us Hwy 1Cocoa, FL 32927(321) 877-2740Special Needs: Yes# DN24790FL Adeniyi, AdetolaNPI: 1952303059 LIC: DN14021CERTIFICATIONS: Inhalation Sedation# DN21925 Eley, Joel*General Dentist servicing as:Pediatric DentistryNPI: 1326491093 LIC: DN21925CERTIFICATIONS: Inhalation Sedation# DN9369 Estes, PhilipNPI: 1437772118 LIC: DN24877FLCERTIFICATIONS:General Dentist servicing as:Pediatric Dentistry Inhalation Sedation# DN24877FL Funaro, Sarah*W-F 8am - 5pmNPI: 1730630633 LIC: DN22332FLCERTIFICATIONS: Inhalation SedationNPI: 1306139019 LIC: HAD82# DN14021 Cheshire, Gregory*DOH - Brevard CountyHealth DepartmentNPI: 1255766937 LIC: DN9369English, Spanish# DN22332FL Baddour, Mary*# DN
General Dentist servicing as: Pediatric Dentistry NPI: 1689081242 LIC:DN20873 # DN16033FL Nguyen, Daniel NPI: 1134238892 LIC:DN16033FL # DN20946FLNguyen, David NPI: 1811398423 LIC:DN20946FL # DN12941 Pairot, Alfredo General Dentist servicing as: Pediatric Dentistry NPI: 1932174448 LIC:DN129
