Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134746738 Individual Practitioner Male Practitioner

Dr. Cody Parker Bertoch , DMD

Dentist - Endodontics • Gainesville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Cody Bertoch, DMD is a registered healthcare professional specializing in Dentist - Endodontics in Gainesville, FL. Practice services are available at 1600 SW ARCHER RD # D10-37 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 Sw Archer Rd # D10-37

Gainesville, FL 326100436

Telephone 3522735440
Fax 3522735446

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
33 Specialists

Practicing in Gainesville, FL (536 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

CMS Verified: 2021-06-09
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License FL DN25420

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist

NUCC Taxonomy Code: 122300000X

State License FL DRPM2189

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

9200 113th St

Seminole, FL 337722800

Phone: 7273946064

Practice Associates & Co-Workers

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

14 Associated Practitioners
Zunnaira Abbasi

Dentist - Endodontics

NPI 1013407857
Dr. Walmir Da Costa , DMD

Dentist - Pediatric Dentistry

NPI 1023539699

Doctor of Dental Medicine

Dr. Paul Leveille , DDS, MS

Dentist - Endodontics

NPI 1073126322

Doctor of Dental Surgery, Master of Science

NPI 1225268287

Doctor of Dental Surgery

Dr. Geena Addison Valdes , DMD

Dentist - Endodontics

NPI 1366020919

Doctor of Dental Medicine

NPI 1386005130

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 09, 2021

Registered at 1600 SW ARCHER RD # D10-37, GAINESVILLE, FL 326100436 (Tel: 3522735440)

📍
Updated Business Mailing Address June 09, 2021

Registered at 1600 SW ARCHER RD # D10-37, GAINESVILLE, FL 326100436 (Tel: 3522735440)

NPI Profile Active June 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2020

Registered at 9200 113TH ST, SEMINOLE, FL 337722800 (Tel: 7273946064)

📍
Updated Business Mailing Address June 30, 2020

Registered at 4913 PILGRIMS PATH WAY, TAMPA, FL 336113817 (Tel: 8136297067)

👤
Provider Name / Credentials Updated June 30, 2020

Recorded as CODY BERTOCH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2020

Dentist (License #DRPM2189 in FL)

🟢
Initial NPI Registration & Enumeration June 30, 2020

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: 1134746738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2020
Last Update: June 09, 2021
Sole Proprietor: No

Mailing Address

1600 Sw Archer Rd # D10-37

Gainesville, FL 326100436

Phone: 3522735440

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.