DAXON & GRUNDSET PLLC NPI 1639599962

NPI Information

  • NPI: 1639599962
  • Provider Name: DAXON & GRUNDSET PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: DAXON & GRUNDSET DENTISTRY
  • Address: 111 2ND AVE NE STE 1104
    ST PETERSBURG, FL
    ZIP 33701
  • Phone: (727) 282-1970

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NPI Details

DAXON & GRUNDSET PLLC is a dental clinic center in St Petersburg, FL. DAXON & GRUNDSET PLLC NPI is 1639599962. The provider is registered as an organization entity type.
The provider Is Doing Business As Daxon & Grundset Dentistry.

The provider's business location address is:

111 2ND AVE NE STE 1104
ST PETERSBURG, FL
ZIP 33701-443
Phone: (727) 282-1970
Fax: (727) 608-1980

The provider's authorized official is Kenneth Grundest .
The authorized official title is Partner and has the following contact phone number (727) 282-1970.

The enumeration date for this NPI number is 4/25/2014 and was last updated on 4/25/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalDN 04596FLORIDAYes

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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