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Active NPI 1417126699 Individual Practitioner Female Practitioner

Dr. Lara Miriam Greenwald , DDS

Dentist • Macclenny, FL

Professional Overview & Biography Verified Profile Summary

Dr. Lara Greenwald, DDS is a registered healthcare professional specializing in Dentist in Macclenny, FL. Practice services are available at 7487 S STATE ROAD 121 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7487 S State Road 121

Macclenny, FL 320635451

Telephone 9042596211
Fax 9042597129
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Macclenny, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Macclenny, FL (6414 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN15057

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
076942800 (FL)

Practice Associates & Co-Workers

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

27 Associated Practitioners
Dr. Luna Iskander , MD

Psychiatry & Neurology - Psychiatry

NPI 1003900713

Doctor of Medicine (M.D.)

Dr. Nhan Le , MD

Family Medicine

NPI 1023114147

Doctor of Medicine (M.D.)

Dr. Ky Dang , MD

Family Medicine

NPI 1083723951

Doctor of Medicine (M.D.)

Merredith Oakes

Nurse Practitioner - Family

NPI 1144605148
Dr. Jane Echterling , PhD

Psychologist - Clinical

NPI 1174734073

Doctor of Philosophy (Ph.D.)

Amy Harvey , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1275152480

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2016

Registered at 7487 S STATE ROAD 121, MACCLENNY, FL 320635451 (Tel: 9042596211)

📍
Updated Business Mailing Address June 09, 2016

Registered at 7487 S STATE ROAD 121, MACCLENNY, FL 320635451 (Tel: 9042596211)

👤
Provider Name / Credentials Updated June 09, 2016

Recorded as LARA GREENWALD, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2016

Dentist (License #DN15057 in FL)

🟢
Initial NPI Registration & Enumeration February 21, 2008

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: 1417126699
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2008
Last Update: June 09, 2016
Sole Proprietor: No

Mailing Address

7487 S State Road 121

Macclenny, FL 320635451

Phone: 9042596211

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.