Provider Type Icon

APOLLO BEACH MODERN DENTISTRY PA NPI 1912663535


NPI Information

NPI: 1912663535
Provider Name: APOLLO BEACH MODERN DENTISTRY, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6182 N US HIGHWAY 41 UNIT A
APOLLO BEACH, FL
ZIP 33572
Phone: (813) 771-0329
Get Directions

APOLLO BEACH MODERN DENTISTRY, PA is a general practice dentist in Apollo Beach, 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. APOLLO BEACH MODERN DENTISTRY, PA NPI is 1912663535. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6182 N US HIGHWAY 41 UNIT A
APOLLO BEACH, FL
ZIP 33572
Phone: (813) 771-0329
Fax: (813) 437-2499

The provider's authorized official is Minh Pham .
The authorized official title is Owner Dentist and has the following contact phone number (813) 771-0329.

The enumeration date for this NPI number is 11/9/2021 and was last updated on 11/9/2021.


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.