Unknown Individual – Dentist, NPI 1417972365
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1st Street Northwest, Largo, Pinellas County, Florida, 33770, United States
LARGO, FL 337703343
Phone: (727) 518-8349
Fax: (727) 518-8339
Type: Location
501, Mandalay Avenue, Clearwater Beach, Clearwater, Pinellas County, Florida, 33767, United States
#801
CLEARWATER, FL 337671703
Phone: (727) 518-8349
Fax: (727) 518-8339
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33770)
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