Organization · Type 2 NPI

Precident Florida PLLC

Oral and Maxillofacial Surgery (Dentist) · St. Petersburg, FL

NPI number 1609464205 Active

Practice location

390 4th St N
St. Petersburg, FL 33701-2802

Fax (727) 398-2679

Mailing address

PO Box 2523, Dept 4316
Conway, AR 72033-2523

Other practice locations

  • 10601 Seminole Blvd, Largo, FL 33778-3329 · (727) 397-8503

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1609464205

Precident Florida PLLC's National Provider Identifier is 1609464205, issued on Jan 8, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 7, 2022.