CLEARWHITE DENTAL PLLC (NPI# 1225458763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225458763 |
| Entity Type | Organization |
| Organization Name | CLEARWHITE DENTAL PLLC |
| Practice Address |
1831 N Belcher Rd Suite F-3 Clearwater FL 33765-1449 |
| Mailing Address |
1831 North Belcher Road Suite F-3 Clearwater FL 33765-1453 |
| Practice Telephone | 7277918823 |
| Practice Fax Number | 7277254534 |
| Mailing Telephone | 7277918823 |
| Mailing Fax Number | 7277254534 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |
| Authorized Official Name | DR. MICHAEL BRADLEY JERGINS (OWNER/OPERATOR) |
| Authorized Official Telephone | 7277918823 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN15034 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE DENTAL LICENSE | DN15034 | 01 |
| FL | CONTROLLED SUBSTANCE DEA | BJ6240460 | 01 |
| Street Address |
1831 N BELCHER RD SUITE F-3 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33765-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477544864 | Greg M Silver Md Pa | Family Medicine | 1831 N Belcher Rd, A-3, Clearwater, FL 33765-1449 | 2005-11-03 |
| 1558715250 | The Florida Knee and Orthopedic Pavilion, P.a. | Orthopaedic Surgery | 1831 N Belcher Rd, Suite E-2, Clearwater, FL 33765-1449 | 2016-04-19 |
| 1790169530 | Elizabeth Sirna | Orthopaedic Surgery | 1831 N Belcher Rd, E2, Clearwater, FL 33765-1449 | 2015-07-10 |
| 1033512462 | Tmmd, LLC | Family Medicine | 1831 N Belcher Rd, Suite C-3, Clearwater, FL 33765-1449 | 2014-09-30 |
| 1073923819 | Ravi Duggirala Md Pa | Internal Medicine | 1831 N Belcher Rd, Suite A3, Clearwater, FL 33765-1449 | 2014-05-01 |
| 1922264431 | Dharamraj Inc | Internal Medicine | 1831 N Belcher Rd, Suite B - 3, Clearwater, FL 33765-1449 | 2008-08-04 |
| 1093975013 | Gordon H. Zuerndorfer M.d., P.a. | Orthopaedic Surgery | 1831 N Belcher Rd, Ste G-1, Clearwater, FL 33765-1449 | 2008-06-12 |
| 1376703744 | Andrea Spurr | Dentist | 1831 N Belcher Rd, Suite 1b, Clearwater, FL 33765-1449 | 2008-06-10 |
| 1902071418 | West Florida Pain Management Pa | Specialist | 1831 N Belcher Rd, A-2, Clearwater, FL 33765-1449 | 2008-04-25 |
| 1417168204 | Baycare Behavioral Health Centers,inc. | Clinic/Center | 1831 N Belcher Rd, Clearwater, FL 33765-1449 | 2007-05-24 |
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|---|---|---|---|---|
| 1023654449 | Seawa Enterprise LLC | Durable Medical Equipment & Medical Supplies | 1802 North Belcher Road, Suite 100, Clearwater, FL 33765 | 2019-11-20 |
| 1962996140 | Jeremy Scott Martin | Clinic/Center | 2481 N.e. Coachman Rd, Clearwater, FL 33765 | 2018-06-20 |
| 1891172078 | Comprehensive Surgery Center LLC | Clinic/Center | 407 Aurora Ave, Clearwater, FL 33765 | 2015-04-27 |
| 1184050411 | Anthony Richard Cheslock | Dentist | 1831 Belcher Road North, 1-b, Clearwater, FL 33765 | 2013-09-18 |
| 1548609522 | Andrew S Cormier | Optometrist | 2288 Drew Street, Suite B, Clearwater, FL 33765 | 2013-06-23 |
| 1124372412 | Kelly Ann Potts | Acupuncturist | 112 Evelyn Avenue, Clearwater, FL 33765 | 2012-11-08 |
| 1235402876 | Jerry N Karasick | Chiropractor | 901 N. Hercules Ave, Ste C, Clearwater, FL 33765 | 2012-02-13 |
| 1538329362 | Aei Diagnostic Imaging LLC | Clinic/Center | 1831 N Belcher Road, D Building, Clearwater, FLORIDA 33765 | 2008-06-16 |
| 1700053311 | Loredana Repetto | Social Worker | 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 | 2008-05-13 |
| 1679741920 | Kussel & Associates Inc. | Podiatrist | 2378 Sunset Point Rd, Clearwater, FL 33765 | 2008-02-20 |
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| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 1972902450 | Feathersound Smiles Pa | Clinic/Center | 2325 Ulmerton Rd, Suite 27, Clearwater, FL 33762-2282 | 2014-08-20 |
| 1518176999 | Jonathan J. Bromboz, Dds, Pa | Clinic/Center | 2701 Park Dr, Suite 4, Clearwater, FL 33763-1021 | 2007-05-22 |
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| City | CLEARWATER |
| Zip Code | 33765 |
Please comment or provide details below to improve the information on CLEARWHITE DENTAL PLLC.
| 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.