PERIODONTICS & IMPLANT DENTISTRY OF ST. PETERSBURG NPI 1013017201

NPI Information

PERIODONTICS & IMPLANT DENTISTRY OF ST. PETERSBURG is a periodontics dentist in St Petersburg, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTICS & IMPLANT DENTISTRY OF ST. PETERSBURG NPI is 1013017201. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8487 4TH ST N
ST PETERSBURG, FL
ZIP 33702-609
Phone: (727) 579-8487
Fax: (727) 578-8500

The provider's authorized official is Gregory G Langston .
The authorized official title is President and has the following contact phone number (727) 579-8487.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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