BRIAN J. DELISLE, DDS, PA (NPI# 1275742538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275742538 |
| Entity Type | Organization |
| Organization Name | BRIAN J. DELISLE, DDS, PA |
| Practice Address |
11414 Seminole Blvd Ste 2 Largo FL 33778-3200 |
| Practice Telephone | 7273985829 |
| Mailing Telephone | 7273985829 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | DR. BRIAN J. DELISLE (PRESIDENT) |
| Authorized Official Telephone | 7273985829 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN0011245 | FL | Dental Providers |
| Street Address |
11414 SEMINOLE BLVD STE 2 |
| City | LARGO |
| State | FL |
| Zip Code | 33778-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629514492 | Brian J. Delisle, Dds | Dentist | 11414 Seminole Blvd Ste 2, Largo, FL 33778-3200 | 2017-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023571775 | Patricia Ann Mitchell | Hearing Instrument Specialist | Florida Medical Hearing Center, 10825 102nd Avenue North-ste 312, Seminole, FL 33778 | 2019-04-10 |
| 1376037432 | Fresh Start Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 11561 Walsingham Rd Ste C, Largo, FL 33778 | 2018-06-21 |
| 1275059685 | Sharetta Lanor Ingram-patterson | Counselor | 11365 111th Avenue, Largo, FL 33778 | 2017-08-17 |
| 1598215444 | Keri Crotty | Counselor | 11963 105th Avenue, Largo, FL 33778 | 2016-10-04 |
| 1972961274 | Yudith Liriano Gonzalez | Registered Nurse | 12150 Seminole Blvd Ste 111, Largo, FL 33778 | 2016-02-02 |
| 1528347309 | Kenneth Eran Rosher | Assisted Living Facility | 1617 Madrid Drive, Largo, FL 33778 | 2011-08-10 |
| 1609987817 | Jennifer Roco Paulmino Dds Prof Dental Pa | Dentist | 10333 Seminole Blvd Ste 7, Largo, FL 33778 | 2006-08-31 |
| 1871533893 | Kenneth Tsu-ching Yen | Internal Medicine | 11200 Seminole Blvd Ste 306, Largo, FL 33778 | 2006-06-07 |
| 1447251061 | Mayra L Lorenzo | Family Medicine | 12150 Seminole Blvd, Largo, FL 33778 | 2005-08-04 |
| 1841706926 | 1 Care LLC | Respite Care | 12945 Seminole Blvd, Suite 12, Largo, FL 33778 | 2017-12-27 |
| Find all providers in zip 33778 | ||||
| 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 |
|---|---|---|---|---|
| 1730646704 | Robert Ferguson | Dentist | 11701 Belcher Rd S Ste 103, Largo, FL 33773-5116 | 2019-02-26 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1821518275 | Daniel Stratton Hultgren | Dentist | 13200 Seminole Blvd Ste 205, Largo, FL 33778-2132 | 2017-06-26 |
| 1649638081 | Humam Shalabi | Dentist | 13200 Seminole Blvd Ste 204, Largo, FL 33778-2132 | 2016-01-31 |
| 1366824419 | Christine Van Groesbeck | Dentist | 10427 Ulmerton Rd Ste B-3, Largo, FL 33771-3530 | 2015-06-25 |
| 1588822613 | The Dental Walk In Clinic of Pinellas | Dentist | 1030 Belcher Rd S, Largo, FL 33771-3316 | 2008-05-27 |
| 1114197027 | Harkins Dental Associates | Dentist | 800 Starkey Rd, Largo, FL 33771 | 2008-03-06 |
| 1437352366 | Neal M. Solar | Dentist | 168 Clearwater Largo Rd S, Largo, FL 33770-3233 | 2007-06-07 |
| 1356543359 | Thomas Lane Showalter Jr. | Dentist | 1678 W Bay Dr, Largo, FL 33770-3002 | 2007-06-01 |
| 1457569535 | Felix Papillon | Dentist | 9701 Apollo Dr Ste 109, Largo, MD 20774-4785 | 2007-05-20 |
| Find all providers in LARGO | ||||
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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.