| Faculty Associates Gainesville | |
|
1600 Sw Archer Rd D4-6 Gainesville FL 32610-3003 | |
| (352) 273-6700 | |
| (352) 392-3070 |
| Full Name | Faculty Associates Gainesville |
|---|---|
| Speciality | Dentist |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Authorized Official Name and Position | Ana Isabel Garcia (DEAN) |
| Authorized Official Contact | 3522735802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faculty Associates Gainesville Po Box 100425 Gainesville FL 32610-0425 Ph: (352) 273-6700 | Faculty Associates Gainesville 1600 Sw Archer Rd D4-6 Gainesville FL 32610-3003 Ph: (352) 273-6700 |
| NPI Number | 1255383550 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 09/14/2021 |
| Medicare PECOS PAC ID | 4981707460 |
|---|---|
| Medicare Enrollment ID | O20070322000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255383550 | NPI | - | NPPES |
| 073969301 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Cesar A Migliorati |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992810519 PECOS PAC ID: 4385558717 Enrollment ID: I20031118001092 |
| Provider Name | John H Hardeman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447343918 PECOS PAC ID: 0244220093 Enrollment ID: I20040514000256 |
| Provider Name | Seunghee Cha |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215192927 PECOS PAC ID: 4183784721 Enrollment ID: I20081128000003 |
| Provider Name | Donald M Cohen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1982661906 PECOS PAC ID: 6406041854 Enrollment ID: I20101110001164 |
| Provider Name | Indraneel Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326004813 PECOS PAC ID: 7214124478 Enrollment ID: I20101214000561 |
| Provider Name | Melvin F Dolwick |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659337590 PECOS PAC ID: 9739354036 Enrollment ID: I20111215000381 |
| Provider Name | Joseph Katz |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1881650893 PECOS PAC ID: 5496920597 Enrollment ID: I20111219000070 |
| Provider Name | Pamela R Sandow |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427013507 PECOS PAC ID: 9830364975 Enrollment ID: I20111219000513 |
| Provider Name | Carol S Bates |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1952366155 PECOS PAC ID: 2062688617 Enrollment ID: I20120103000086 |
| Provider Name | Mohammed Nadimul Islam |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477750263 PECOS PAC ID: 7113108010 Enrollment ID: I20120925000089 |
| Provider Name | Luis J Rueda |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134185291 PECOS PAC ID: 3173778883 Enrollment ID: I20130304000288 |
| Provider Name | Martha Lawrence |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417950320 PECOS PAC ID: 9436254448 Enrollment ID: I20130729000029 |
| Provider Name | Esther S Oh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124225560 PECOS PAC ID: 1254574353 Enrollment ID: I20130821000056 |
| Provider Name | Margarete Ribeiro Dasilva |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326228321 PECOS PAC ID: 8628202322 Enrollment ID: I20131014000108 |
| Provider Name | Maria L Aguilar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770737033 PECOS PAC ID: 6608000310 Enrollment ID: I20131014000181 |
| Provider Name | Deeba Kashtwari |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669880407 PECOS PAC ID: 5294953642 Enrollment ID: I20140826001845 |
| Provider Name | Benjamin J Schlott |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891938296 PECOS PAC ID: 3274702329 Enrollment ID: I20140908001354 |
| Provider Name | Sevin Barghan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801236955 PECOS PAC ID: 2466755400 Enrollment ID: I20160125002184 |
| Provider Name | Charles D Widmer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669439261 PECOS PAC ID: 2769781822 Enrollment ID: I20160425001691 |
| Provider Name | Axel Ruprecht |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699763631 PECOS PAC ID: 3476634536 Enrollment ID: I20170601001794 |
| Provider Name | Danielle L Freburg Hoffmeister |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447545132 PECOS PAC ID: 6800162165 Enrollment ID: I20171101001160 |
| Provider Name | Joy K Wang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396146874 PECOS PAC ID: 9032485958 Enrollment ID: I20171127000430 |
| Provider Name | Satoko Matsumura |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134506009 PECOS PAC ID: 5597025288 Enrollment ID: I20180126001248 |
| Provider Name | Matthew C Hansen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598008153 PECOS PAC ID: 9739438177 Enrollment ID: I20180820000466 |
| Provider Name | Angela Wong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609361906 PECOS PAC ID: 1951653476 Enrollment ID: I20181011001299 |
| Provider Name | Sarah G Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336243906 PECOS PAC ID: 5294072336 Enrollment ID: I20190128000695 |
| Provider Name | Anita Gohel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841563947 PECOS PAC ID: 0143504878 Enrollment ID: I20200302001807 |
| Provider Name | Tyler Holley |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1154760411 PECOS PAC ID: 4880814771 Enrollment ID: I20200701002375 |
| Provider Name | Hamad A Alharbi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013251065 PECOS PAC ID: 4981020997 Enrollment ID: I20200820000806 |
| Provider Name | Rutvi Vijay Vyas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487252573 PECOS PAC ID: 7911327747 Enrollment ID: I20201016002279 |
| Provider Name | Mayank Pahadia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1861065948 PECOS PAC ID: 2860895869 Enrollment ID: I20210728003283 |
| Provider Name | Richard J Nessif |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1497086342 PECOS PAC ID: 5092861096 Enrollment ID: I20220530000175 |
| Provider Name | Saja A Alramadhan |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1326533043 PECOS PAC ID: 1658757810 Enrollment ID: I20220926003381 |
| Provider Name | Jason Buschman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891720728 PECOS PAC ID: 6901060763 Enrollment ID: I20230605002798 |
| Provider Name | Avni Bhula |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Radiology |
| Provider Identifiers | NPI Number: 1174112288 PECOS PAC ID: 0840647434 Enrollment ID: I20231102003447 |
| Provider Name | Sumita Sam |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Pathology |
| Provider Identifiers | NPI Number: 1326561200 PECOS PAC ID: 3678917929 Enrollment ID: I20240215000110 |
| Provider Name | Cleo Bianca Vidican |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Radiology |
| Provider Identifiers | NPI Number: 1184065294 PECOS PAC ID: 3173968690 Enrollment ID: I20240223002860 |
Jeff R Matilsky Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Nw 8th Ave, Suite A, Gainesville, FL 32601 Phone: 352-376-4637 Fax: 352-373-2268 | |
Charles E Graper Md Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 Nw 57th St, Gainesville, FL 32605 Phone: 352-331-6661 Fax: 352-331-6336 | |
Park Avenue Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Nw 56th Ter Ste B, Gainesville, FL 32605 Phone: 352-331-7573 | |
Minsung Son Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6921 W Newberry Rd, Gainesville, FL 32605 Phone: 352-333-7788 | |
Justin C. Craighead Dmd, Ms, Pl Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3720 Nw 43rd St Ste 102, Gainesville, FL 32606 Phone: 352-263-9579 | |
College Of Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1395 Center Dr, Gainesville, FL 32610 Phone: 352-273-5785 | |
Samant Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4404 N.w, 36th Ave, Gainesville, FL 32606 Phone: 352-376-5120 Fax: 352-373-6256 |