SARA ALEXANDRA MALTESE


Address: 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716
Phone: 9412584191

SARA ALEXANDRA MALTESE (NPI# 1316471113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316471113
Entity Type Individual
Full Name SARA ALEXANDRA MALTESE
Credential D.M.D
Practice Address 871 Ibis Walk Pl N Unit 7201
St Petersburg
FL 33716
Mailing Address 1044 Belcher Rd
Dunedin
FL 34698-5680
Practice Telephone 9412584191
Mailing Telephone 7277388845
Enumeration Date 2017-04-18
Last Update Date 2018-08-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DN23157 FL Dental Providers

Office Location

Street Address 871 IBIS WALK PL N UNIT 7201
City ST PETERSBURG
State FL
Zip Code 33716

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1699205815 Orthopaedic Medical Group of Tampa Bay Pa Clinic/Center 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 2017-06-20
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1720440902 Valorie Baker Day Training, Developmentally Disabled Services 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 2016-03-25
1346611142 Theresa Bowen Occupational Therapist 810 S. Village Drive N, #103, St. Petersburg, FL 33716 2015-10-19
1356775423 Paula J Smith Massage Therapist 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 2013-08-26
1699118596 Kellie L Kintz Social Worker 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 2013-04-10
1427398288 St. Petersburg General Hospital General Acute Care Hospital 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 2013-02-15
1952657314 Trudy Anna Glover Occupational Therapy Assistant 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 2012-08-02
1275834129 Prison Rehabilitative Industries & Diversified Enterprises Dental Laboratory 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 2010-11-09
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093374233 James W Felch Dentist 1904 4th St N, St Petersburg, FL 33704-4308 2019-06-11
1205286028 Fred Benzenhafer Dentist 4045 Tyrone Blvd N, St Petersburg, FL 33709-4118 2016-06-14
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
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Competitor

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City ST PETERSBURG
Zip Code 33716

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Dataset Information

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.

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