Periodontics & Implant Dentistry Of St. Petersburg

NPI 1013017201 - Dentist - 1223P0300X

NPI Details
NPI 1013017201
Enumeration Date 09/25/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GREGORY G GREGORY
Position PRESIDENT
Phone (727) 579-8487
Fax (727) 578-8500
Practice Location
8487 4TH ST N
ST PETERSBURG FL, 33702-3609, US
Phone (727) 579-8487
Fax (727) 578-8500
Business Location
8487 4TH ST N
ST PETERSBURG FL, 33702-3609, US
Phone (727) 579-8487
Fax (727) 578-8500
Toxanomy
Taxonomy Code 1223P0300X
License State Florida
License Number DN9112
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According to our database, Periodontics & Implant Dentistry Of St. Petersburg NPI is 1013017201, taxonomy code is 1223P0300X and license number is DN9112, license state is located at Florida. Periodontics & Implant Dentistry Of St. Petersburg physically located at 8487 4th St N, St Petersburg FL, 33702-3609. NPI Number 1033115704 has the healthcare provider type.

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1013017201 NPI number is provided on an as is basis without warranty of any kind. 1013017201 is maintained by the National Plan & Provider Enumeration System. The contents of Periodontics & Implant Dentistry Of St. Petersburg are for informational purposes only.