MISSOURI GARDENS DENTAL NPI 1457159592

NPI Information

  • NPI: 1457159592
  • Provider Name: MISSOURI GARDENS DENTAL
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 15 N MISSOURI AVE
    CLEARWATER, FL
    ZIP 33755
  • Phone: (727) 461-4832

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NPI Details

MISSOURI GARDENS DENTAL is a dental clinic center in Clearwater, FL. MISSOURI GARDENS DENTAL NPI is 1457159592. The provider is registered as an organization entity type.

The provider's business location address is:

15 N MISSOURI AVE
CLEARWATER, FL
ZIP 33755-830
Phone: (727) 461-4832
Fax: (727) 461-4835

The provider's authorized official is Anisha Patel .
The authorized official title is Dentist and has the following contact phone number (727) 461-4832.

The enumeration date for this NPI number is 3/5/2025 and was last updated on 3/5/2025.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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