PROFESSIONAL DENTAL ALLIANCE OF ST. PETERSBURG, PLLC (NPI# 1720551187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720551187 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL ALLIANCE OF ST. PETERSBURG, PLLC |
| Practice Address |
7300 4th St N St Petersburg FL 33702-5924 |
| Mailing Address |
11 S Mill St Ste 200 New Castle PA 16101-3680 |
| Practice Telephone | 7275211818 |
| Mailing Telephone | 7246982500 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | LAUREN HOWARD (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7246982029 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
7300 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33702-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952334641 | Crawford Gause Klos Reynolds & Yeager Pa | Dentist | 7300 4th St N, St Petersburg, FL 33702 | 2006-07-08 |
| 1588159982 | Douglas Kevin Robinson | Dentist | 7300 4th St N, St Petersburg, FL 33702-5924 | 2018-06-27 |
| 1205942091 | Michael J Reynolds | Dentist | 7300 4th St N, St Petersburg, FL 33702-5924 | 2006-08-22 |
| 1699889147 | Frederick C Spies | Dentist | 7300 4th St N, St Petersburg, FL 33702-5924 | 2006-08-19 |
| 1205848645 | Donald D Black IIi | Dentist | 7300 4th St N, St Petersburg, FL 33702-5924 | 2006-08-13 |
| 1285646646 | Shannon R Egleston | Dentist | 7300 4th St N, St Petersburg, FL 33702-5924 | 2006-08-13 |
| 1972515096 | Thomas W Crawford | Dentist | 7300 4th St N, St Petersburg, FL 33702-5924 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
| 1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
| 1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
| 1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
| 1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
| 1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
| 1891203485 | Healthy Lifestyles Tampa Bay LLC | Psychologist | 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 | 2018-01-17 |
| 1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
| Find all providers in zip 33702 | ||||
| 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 |
| 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 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33702 |
Please comment or provide details below to improve the information on PROFESSIONAL DENTAL ALLIANCE OF ST. PETERSBURG, 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.