FLORIDA DENTAL PROFESSIONALS, P.A. (NPI# 1811548407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811548407 |
| Entity Type | Organization |
| Organization Name | FLORIDA DENTAL PROFESSIONALS, P.A. |
| Other Organization Name | ESTHETIC & INTEGRATIVE DENTISTRY |
| Practice Address |
390 4th St N Ste 101 St Petersburg FL 33701-2802 |
| Practice Telephone | 7372821980 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | TABATHA LEMKE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175406078 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORIDA DENTAL PROFESSIONALS, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| DuPont & Wilkerson Dentistry | Doing Business As Name - Organization |
| Esthetic & Integrative Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731942 | Florida Dental Professionals, P.a. | Dentist | 681 Goodlette Frank Rd Ste 110, Naples, FL 34102-5612 | 2019-10-09 |
| 1245709641 | Florida Dental Professionals, P.a. | Dentist | 4933 Tamiami Trl N Ste 100, Naples, FL 34103-3028 | 2018-11-15 |
| 1891293387 | Florida Dental Professionals, P.a. | Dentist | 6360 Pine Ridge Rd Ste 202, Naples, FL 34119-3907 | 2018-01-30 |
| 1033614318 | Florida Dental Professionals, P.a. | Dentist | 819 Del Prado Blvd S, Cape Coral, FL 33990-2659 | 2018-03-28 |
| 1225571532 | Florida Dental Professionals, P.a. | Dentist | 35691 Us 19 N, Palm Harbor, FL 34684-1739 | 2016-11-18 |
| Street Address |
390 4TH ST N STE 101 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| 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 |
|---|---|---|---|---|
| 1285264374 | Dental Arts Ninth Street P.a. | Dentist | 7451 9th St N, St Petersburg, FL 33702-5203 | 2020-01-17 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1932530920 | Dynamic Dental Health Associates of Virginia | Dentist | 9400 4th St N Ste 200, St Petersburg, FL 33702-2501 | 2013-12-02 |
| 1144513334 | Robert Stephen Pastorius | Dentist | 3864 5th Ave N, St Petersburg, FL 33713-7521 | 2011-05-19 |
| 1851697163 | Earl J Schandle | Dentist | 6715 4th St N, St Petersburg, FL 33702-6842 | 2011-02-03 |
| 1376702332 | Alpha Dental Services, Inc. | Dentist | 243 32nd St N, St Petersburg, FL 33713-8537 | 2008-06-05 |
| 1396912564 | Brian F Vestal | Dentist | 200 Pasadena Ave S, St Petersburg, FL 33707-1251 | 2008-05-15 |
| 1538349998 | Meagan Elizabeth Simmons | Dentist | 7650 38th Ave N, St Petersburg, FL 33710-1233 | 2007-11-13 |
| 1306030069 | Wayne H. Kehm II | Dentist | 4850 1st Ave N, St Petersburg, FL 33713-8108 | 2007-09-05 |
| 1528263183 | Thomas O Johnson Dds Pa | Dentist | 2663 1st Ave N, St Petersburg, FL 33713-8703 | 2007-06-15 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
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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.