Geedo Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20414 Issued in FL

Legal business name

GEEDO DENTAL PLLC

Doing business as

Bay Premier Dentistry

Practice address

10330 N Dale Mabry Hwy Ste 150
Tampa, FL 33618-4404

Phone

(813) 749-4170

Fax

(813) 354-2418

NPI assigned

Mar 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Magied Bishara, DDSNPI 1275954612

Title

Owner

Phone

(727) 744-2036

Specialties & licenses 1

Addresses

Other names 1

• Bay Premier Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Magied Bishara, DDS

  • Dentist
  • Tampa, FL
  • NPI 1275954612
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023510344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N DALE MABRY HWY STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184404",
            "telephone_number": "813-749-4170",
            "fax_number": "813-354-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 N DALE MABRY HWY STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184404",
            "telephone_number": "813-749-4170",
            "fax_number": "813-354-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEEDO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BISHARA",
        "authorized_official_first_name": "MAGIED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-744-2036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Premier Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn N Gebhard
• Amy Gedeon, APRN
• Marie-Carmel Gedeon, PT
• Bhavik Gedia, MD
• Richard Gee Jr.
• Stevie Nicole Geesaman, PA-C
• Camille Geiger, MS
• Emma Parter Geiger, LMHC
• Jade Geisenheimer
• Talen Geisenheimer

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.