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PRECIDENT FLORIDA PLLC NPI 1154045599


NPI Information

NPI: 1154045599
Provider Name: PRECIDENT FLORIDA PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 10D2220945

Address:
10601 SEMINOLE BLVD
LARGO, FL
ZIP 33778
Phone: (727) 397-8503
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PRECIDENT FLORIDA PLLC is an oral and maxillofacial surgery dentist in Largo, FL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PRECIDENT FLORIDA PLLC NPI is 1154045599. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10601 SEMINOLE BLVD
LARGO, FL
ZIP 33778-329
Phone: (727) 397-8503
Fax: (727) 398-2679

The provider's authorized official is Scotty L Bolding .
The authorized official title is Owner and has the following contact phone number (479) 957-4611.

The CLIA number assigned to this NPI record is 10D2220945 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2022 and was last updated on 10/11/2022.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsNo
21223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.