DR. KIMBERLEY DANLEY DAXON (NPI# 1952426439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952426439 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLEY DANLEY DAXON |
| Credential | D.D.S. |
| Practice Address |
111 2nd Ave Ne Suite #1104 Saint Petersburg FL 33701-3434 |
| Practice Telephone | 7278214433 |
| Practice Fax Number | 7278227252 |
| Mailing Telephone | 7278214433 |
| Mailing Fax Number | 7278227252 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
13441 | FL | Dental Providers |
| Street Address |
111 2ND AVE NE SUITE #1104 |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33701-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499926 | Mary Busby | Counselor | 111 2nd Ave Ne, Saint Petersburg, FL 33701-3434 | 2019-07-23 |
| 1003364415 | Danielle Nicole Reed | Speech-Language Pathologist | 111 2nd Ave Ne, Saint Petersburg, FL 33701-3434 | 2016-09-14 |
| 1164883187 | Andrea M Conard | Speech-Language Pathologist | 111 2nd Ave Ne, Suite 900, Saint Petersburg, FL 33701-3434 | 2016-03-18 |
| 1639594583 | Sommer Perry | Speech-Language Pathologist | 111 2nd Ave Ne, 900, Saint Petersburg, FL 33701-3434 | 2014-03-02 |
| 1528322500 | Griffin Electrical Sales, Inc | Counselor | 111 2nd Ave Ne, 918, Saint Petersburg, FL 33701-3434 | 2012-06-25 |
| 1982925764 | Roxanne M Griffin | Counselor | 111 2nd Ave Ne, 918, Saint Petersburg, FL 33701-3434 | 2010-06-16 |
| 1154643377 | International Center for Complete Dentistry | Durable Medical Equipment & Medical Supplies | 111 2nd Ave Ne, #1104, Saint Petersburg, FL 33701-3434 | 2010-02-16 |
| 1770602567 | Dewitt Wilkerson | Dentist | 111 2nd Ave Ne, Suite #1104, Saint Petersburg, FL 33701-3434 | 2007-03-29 |
| 1679692461 | C. Jeff Scott | Dentist | 111 2nd Ave Ne, Suite #1104, Saint Petersburg, FL 33701-3434 | 2007-03-29 |
| 1295851293 | Glenn Dupont | Dentist | 111 2nd Ave Ne, Suite #1104, Saint Petersburg, FL 33701-3434 | 2007-03-21 |
| Find all providers in the same location | ||||
| 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 | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982851440 | Gerard E. Krueger | Dentist | 7801 38th Ave N, Saint Petersburg, FL 33710-1107 | 2008-08-26 |
| 1306861653 | Craig Livezey Nelson | Dentist | Va Health Care System, 10,000 Bay Pines Boulvard, Saint Petersburg, FL 33708 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650540 | Zineb Mediouni Dmd Pa | Dentist | 14502 N Dale Mabry Hwy Ste 102, Tampa, FL 33618-2076 | 2020-08-19 |
| 1932728078 | Mohammad Reza Azari Samani | Dentist | 14453 Beach Blvd Ste 100, Jacksonville, FL 32250-2081 | 2020-04-09 |
| 1013562941 | Blanding Dental Associates P.a. | Dentist | 767 Blanding Blvd Ste 108, Orange Park, FL 32065-5788 | 2019-08-07 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1700365145 | Carlos Soucy Aranguren | Dentist | 1395 Center Dr Rm D9-39d, Gainesville, FL 32610-3006 | 2018-08-07 |
| 1790278448 | Marcela Cardona Echeverri | Dentist | 3872 San Simeon Cir, Weston, FL 33331-5056 | 2018-06-07 |
| 1942704499 | Ngoc Trang Caroline Truong | Dentist | 1395 Center Driveroom D1-19, Gainesville, FL 32610-0001 | 2018-03-20 |
| 1851812515 | Martin Sebastian Lalama | Dentist | 2441 Nw 43rd St Ste 16, Gainesville, FL 32606-6676 | 2017-07-03 |
| 1619497021 | Leila Ahmadian Khoshe Mehr | Dentist | 929 Falling Water Rd, Weston, FL 33326-3555 | 2017-06-27 |
| 1548611510 | Rocio Barocio Torano | Dentist | 2425 Brunello Trce, Lutz, FL 33558-7800 | 2016-06-30 |
| Find all providers with the same taxonomy | ||||
| City | SAINT 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.