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TYRONE SQUARE MALL DENTAL P.A NPI 1487065058


NPI Information

NPI: 1487065058
Provider Name: TYRONE SQUARE MALL DENTAL P.A
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
6747 TYRONE SQ
ST PETERSBURG, FL
ZIP 33710
Phone: (954) 846-7171
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TYRONE SQUARE MALL DENTAL P.A is a dentist in St Petersburg, FL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. TYRONE SQUARE MALL DENTAL P.A NPI is 1487065058. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6747 TYRONE SQ
ST PETERSBURG, FL
ZIP 33710-934
Phone: (954) 846-7171
Fax: (954) 846-7170

The provider's authorized official is Rostislav Krasnov .
The authorized official title is Dds and has the following contact phone number (954) 846-7171.

The enumeration date for this NPI number is 5/16/2014 and was last updated on 5/16/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistDN16377FLORIDAYes

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: 11/14/2023

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