Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922136092 Individual Practitioner Female Practitioner

Dr. Christine Gutierrez Elam , DMD

Dentist - General Practice • Bronson, FL

Professional Overview & Biography Verified Profile Summary

Dr. Christine Elam, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bronson, FL. Practice services are available at 66 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

66 W Main St

Bronson, FL 326216338

Telephone 3524865300
Fax 3524865307
Associated Practice Facility / Clinic
🏢 Florida Department Of Health Facility NPI 1154395390

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bronson, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Bronson, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN15416

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License FL DN 15416

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
075720900 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Marinda Norton , ARNP

Nurse Practitioner - Family

NPI 1306262076

Advanced Registered Nurse Practitioner

Carol Lavin , ARNP

Nurse Practitioner - Family

NPI 1366413692

Advanced Registered Nurse Practitioner

NPI 1649788142

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Dentist (License #DN 15416 in FL)

NPI Profile Active November 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2017

Registered at 66 W MAIN ST, BRONSON, FL 326216338 (Tel: 3524865300)

📍
Updated Business Mailing Address November 29, 2017

Registered at 66 W MAIN ST, BRONSON, FL 326216338 (Tel: 3524865300)

👤
Provider Name / Credentials Updated November 29, 2017

Recorded as CHRISTINE ELAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2017

Dentist (License #DN15416 in FL)

NPI Profile Active September 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2013

Registered at 915 NOBLES FERRY RD, LIVE OAK, FL 320648463 (Tel: 3863622708)

📍
Updated Business Mailing Address September 09, 2013

Registered at 915 NOBLES FERRY RD, LIVE OAK, FL 320648463 (Tel: 3863622708)

👤
Provider Name / Credentials Updated September 09, 2013

Recorded as CHRISTINE ELAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2013

Dentist (License #DN 15416 in FL)

🟢
Initial NPI Registration & Enumeration March 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922136092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2007
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

66 W Main St

Bronson, FL 326216338

Phone: 3524865300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.