DR. JODY MICHELE MAIDEN (NPI# 1235396086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235396086 |
| Entity Type | Individual |
| Full Name | DR. JODY MICHELE MAIDEN |
| Credential | D.D.S. |
| Practice Address |
2201 4th St N Suite C Saint Petersburg FL 33704-4300 |
| Practice Telephone | 7278232007 |
| Mailing Telephone | 7278232007 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
16901 | FL | Dental Providers |
| Street Address |
2201 4TH ST N SUITE C |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33704-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205153186 | Robert P Hearn | Dentist | 2201 4th St N, Ste C, Saint Petersburg, FL 33704-4300 | 2010-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
| 1972150738 | Alexander Medical Group LLC | Non-Pharmacy Dispensing Site | 2438 Dr. M L King Jr Street N, St. Petersburg, FL 33704 | 2019-08-26 |
| 1720634595 | Taylor Collins | Physical Medicine & Rehabilitation | 2600 Dr. Jlk Jr St N Unity 2008, Stpetersburg, FL 33704 | 2019-08-16 |
| 1417302142 | Carrie Beth Zilbauer | Physical Therapist | 750 24th Ave N, Saint Petersburg, FL 33704 | 2016-05-02 |
| 1710225982 | Jessica Willoughby | Midwife | 1405 Dr Mlk Jr St N, Saint Petersburg, FL 33704 | 2013-01-23 |
| 1649515354 | Surgcenter Northeast LLC | Clinic/Center | 2438 Dr. Martin Luther King Jr Street North Suite C, St Petersburg, FL 33704 | 2012-12-06 |
| 1700144235 | St. Pete Chiropractic and Injury Center LLC | Chiropractor | 2206 4th Street North, St. Petersburg, FL 33704 | 2012-05-03 |
| 1437421963 | Kenneth R. Reinhart D.c. Pa | Chiropractor | 3190 Mlk Street N., St. Petersburg, FL 33704 | 2012-01-30 |
| 1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
| Find all providers in zip 33704 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
| 1053803494 | Dillon Matthew Bale | Dentist | 7801 Dr Martin Luther King St N, Saint Petersburg, FL 33702-1108 | 2018-06-01 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1184903775 | Cindy N. Brayer, Dmd, Pa | Dentist | 3388 49th St N, Saint Petersburg, FL 33710-2146 | 2011-08-12 |
| 1881898005 | Roy George Clark | Dentist | 5720 5th Ave N, Saint Petersburg, FL 33710-7104 | 2007-06-12 |
| 1184833766 | Robert P Keenan | Dentist | 4100 5th Ave N, Saint Petersburg, FL 33713-6304 | 2007-05-21 |
| 1831301506 | Anthony John Denavarra | Dentist | 224 Pasadena Ave S, Saint Petersburg, FL 33707-1251 | 2007-05-04 |
| 1538280839 | Bryan Dayle Oeth | Dentist | 239 2nd Ave S Ste 100, Saint Petersburg, FL 33701-4312 | 2007-04-03 |
| 1508983909 | Mendee V Bull -ligon | Dentist | 5201 Central Ave, Saint Petersburg, FL 33710-8141 | 2007-03-23 |
| 1568587509 | Robert M Williams | Dentist | 6700 Crosswinds Dr N Ste 200c, Saint Petersburg, FL 33710-8609 | 2007-03-20 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33704 |
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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.