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FLORIDA DENTAL PROFESSIONALS P.A. NPI 1811548407


NPI Information

NPI: 1811548407
Provider Name: FLORIDA DENTAL PROFESSIONALS, P.A.

Doing Business As: ESTHETIC & INTEGRATIVE DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 10D0026024

Address:
390 4TH ST N STE 101
ST PETERSBURG, FL
ZIP 33701
Phone: (737) 282-1980
Get Directions

FLORIDA DENTAL PROFESSIONALS, P.A. is a general practice dentist in St Petersburg, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FLORIDA DENTAL PROFESSIONALS, P.A. NPI is 1811548407. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Esthetic & Integrative Dentistry.

The provider's business location address is:

390 4TH ST N STE 101
ST PETERSBURG, FL
ZIP 33701-802
Phone: (737) 282-1980

The provider's authorized official is Tabatha Lemke .
The authorized official title is Credentialing Coordinator and has the following contact phone number (217) 540-6078.

The CLIA number assigned to this NPI record is 10D0026024 - public health laboratory with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/25/2019 and was last updated on 11/9/2020.


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
11223G0001XDentistGeneral PracticeYes

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

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.