AFFILIATED DENTAL SPECIALIST PL (NPI# 1972057875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972057875 |
| Entity Type | Organization |
| Organization Name | AFFILIATED DENTAL SPECIALIST PL |
| Other Organization Name | DENTAL SPECIALISTS OF FLORIDA |
| Practice Address |
6311 4th St N St Petersburg FL 33702-7511 |
| Practice Telephone | 7274740317 |
| Practice Fax Number | 7275261702 |
| Mailing Telephone | 7274740317 |
| Mailing Fax Number | 7275261702 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2017-11-16 |
| Authorized Official Name | ALAN SHOOPAK (ORTHODONTIST) |
| Authorized Official Telephone | 7274740317 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Specialists of Florida | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801316310 | Affiliated Dental Specialist Pl | Dentist | 13129 N Dale Mabry Hwy Ste H, Tampa, FL 33618-2444 | 2017-06-26 |
| 1215457767 | Affiliated Dental Specialist Pl | Dentist | 17401 Commerce Park Blvd Ste 101, Tampa, FL 33647-3507 | 2017-06-26 |
| 1063965119 | Affiliated Dental Specialist Pl | Dentist | 6311 4th St N, St Petersburg, FL 33702-7511 | 2016-07-25 |
| Street Address |
6311 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33702-7511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205974458 | Alan David Shoopak | Dentist | 6311 4th St N, St Petersburg, FL 33702-7511 | 2007-02-01 |
| 1063965119 | Affiliated Dental Specialist Pl | Dentist | 6311 4th St N, St Petersburg, FL 33702-7511 | 2016-07-25 |
| 1669884268 | Aaron Shoopak | Dentist | 6311 4th St N, St Petersburg, FL 33702-7511 | 2014-05-30 |
| 1386779528 | Alan D. Shoopak, D.m.d., P.a. | Dentist | 6311 4th St N, St Petersburg, FL 33702-7511 | 2007-02-21 |
| 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 | 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 |
| 1811548407 | Florida Dental Professionals, P.a. | Dentist | 390 4th St N Ste 101, St Petersburg, FL 33701-2802 | 2019-09-25 |
| 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 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33702 |
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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.