DR. FRED BENZENHAFER (NPI# 1205286028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205286028 |
| Entity Type | Individual |
| Full Name | DR. FRED BENZENHAFER |
| Credential | DMD |
| Practice Address |
4045 Tyrone Blvd N St Petersburg FL 33709-4118 |
| Practice Telephone | 7275473491 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN21907 | FL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN21907 | FL | Dental Providers |
| Street Address |
4045 TYRONE BLVD N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093374233 | James W Felch | Dentist | 1904 4th St N, St Petersburg, FL 33704-4308 | 2019-06-11 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1154776730 | Park Street Dental | Dentist | 4911 Park St N, Suite A, St Petersburg, FL 33709-2227 | 2016-05-02 |
| 1841602356 | Lauren Caroline Krauser | Dentist | 1015 58th St N, St Petersburg, FL 33710-6326 | 2014-06-02 |
| 1952713547 | Ivo Bushati | Dentist | 10472 Roosevelt Blvd N, St Petersburg, FL 33716-3820 | 2014-05-29 |
| 1487065058 | Tyrone Square Mall Dental P.a | Dentist | 6747 Tyrone Sq, St Petersburg, FL 33710-3934 | 2014-05-16 |
| 1265858807 | Anna Shoopak | Dentist | 3100 4th St N Unit 2, St Petersburg, FL 33704-2154 | 2014-03-06 |
| 1215378468 | Yukti Gulati | Dentist | 4300 4th St N Ste A, St Petersburg, FL 33703-4700 | 2013-07-16 |
| 1265873715 | Wade William Hancock | Dentist | 5415 Park St N Ste A, St Petersburg, FL 33709-1028 | 2013-07-12 |
| 1649526799 | Amber Marie Gilton | Dentist | 8501 9th St N, St Petersburg, FL 33702-3505 | 2012-07-26 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.