Mamdouh Omar Kachlan, DMD, MS, FACP

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN29788 Issued in FL

Practice address

2700 S Tamiami TRL Ste 8
Sarasota, FL 34239-4528

Phone

(941) 951-7711

NPI assigned

Jan 31, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Geneva Dental Care

  • Dental Clinic/Center
  • Glenside, PA
  • NPI 1184060501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1780390914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 MESSINA LOOP UNIT 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112239",
            "telephone_number": "267-401-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S TAMIAMI TRL STE 8",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394528",
            "telephone_number": "941-951-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHLAN",
        "first_name": "MAMDOUH",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "DMD, MS, FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS043096",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN29788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessandra Jurtinus, APRN
• Emma L Justice, MS SLP
• Bernie Justilien, ED.D
• Juzsolutions LLC
• K R Byju MD PLC
• Donald Kaczmarek, HAS
• Debbie Kadagian
• Makram Kadous
• Din Z Kagalwala, D.O.
• Leslie Kahn

• Prosthodontics in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.