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THOMAS J. BOLAND MD DMD PA NPI 1760783468


NPI Information

NPI: 1760783468
Provider Name: THOMAS J. BOLAND, MD, DMD, PA
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
6540 4TH ST N
SUITE A
ST PETERSBURG, FL
ZIP 33702
Phone: (727) 525-0155
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THOMAS J. BOLAND, MD, DMD, PA is an oral maxillofacial surgery in St Petersburg, FL. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. THOMAS J. BOLAND, MD, DMD, PA NPI is 1760783468. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6540 4TH ST N
SUITE A
ST PETERSBURG, FL
ZIP 33702-822
Phone: (727) 525-0155
Fax: (727) 525-0155

The provider's authorized official is Thomas J Boland .
The authorized official title is President and has the following contact phone number (727) 525-0155.

The enumeration date for this NPI number is 11/11/2010 and was last updated on 11/11/2010.


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
1204E00000XOral & Maxillofacial SurgeryME50633FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104519MEDICARE PINFLORIDA

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: 4/28/2024

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