DR. KEVIN MICHAEL CARBONELL (NPI# 1730568635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730568635 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MICHAEL CARBONELL |
| Credential | D.M.D |
| Practice Address |
3863 Central Avenue Saint Petersburg FL 33713 |
| Mailing Address |
235 3rd Avenue North Unit 563 Saint Petersburg FL 33701-3383 |
| Practice Telephone | 5614144034 |
| Mailing Telephone | 5614144034 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN21321 | FL | Dental Providers |
| Street Address |
3863 CENTRAL AVENUE |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| 1740696442 | Opiate Recovery Network, LLC | Clinic/Center | 6101 Martin Luther King Jr Blvd, St. Petersburg, FL 33713 | 2014-07-02 |
| Find all providers in zip 33713 | ||||
| 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 |
| 1184903775 | Cindy N. Brayer, Dmd, Pa | Dentist | 3388 49th St N, Saint Petersburg, FL 33710-2146 | 2011-08-12 |
| 1235396086 | Jody Michele Maiden | Dentist | 2201 4th St N, Suite C, Saint Petersburg, FL 33704-4300 | 2008-05-20 |
| 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 | 33713 |
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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.