Periodontics & Implant Dentistry Of St. Petersburg in St Petersburg - Periodontics
Periodontics & Implant Dentistry Of St. Petersburg - NPI 1013017201
Periodontics & Implant Dentistry Of St. Petersburg is a Periodontics in St Petersburg, Florida. Periodontics & Implant Dentistry Of St. Petersburg practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontics & Implant Dentistry Of St. Petersburg is 1013017201. The last update date is 2020-08-22.
Periodontics & Implant Dentistry Of St. Petersburg's current location address is 8487 4th St N, St Petersburg, Florida. You can contact this provider via phone number 7275798487 and fax number 7275788500. The mailing address for Periodontics & Implant Dentistry Of St. Petersburg is 8487 4th St N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontics & Implant Dentistry Of St. Petersburg |
|---|---|
| Address | 8487 4th St N, St Petersburg, Florida |
| Phone Number | 7275798487 |
| Fax Number | 7275788500 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Langston G Gregory |
| Credentials | DMD, MSD |
| Telephone Number | 7275798487 |
NPI Number Detail
| NPI Number | 1013017201 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8487 4th St N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337023609 |
| Phone Number | 7275798487 |
| Fax Number | 7275788500 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN9112 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code assigned to Periodontics & Implant Dentistry Of St. Petersburg by the Centers for Medicare & Medicaid Services?
The Periodontics & Implant Dentistry Of St. Petersburg has been issued the NPI (National Provider Identifier) 1013017201 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Periodontics & Implant Dentistry Of St. Petersburg is geographically located?
The Periodontics & Implant Dentistry Of St. Petersburg is physically situated at the following location: 8487 4Th St N, St Petersburg, FL, 337023609.
What is Periodontics & Implant Dentistry Of St. Petersburg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Periodontics & Implant Dentistry Of St. Petersburg is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
When did the Periodontics & Implant Dentistry Of St. Petersburg receive its 1013017201?
The Periodontics & Implant Dentistry Of St. Petersburg was issued its 1013017201 on 2006-09-25, which is the date when the organization was assigned this unique identifier.
When was the information regarding Periodontics & Implant Dentistry Of St. Petersburg most recently updated?
The details pertaining to the Periodontics & Implant Dentistry Of St. Petersburg, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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