South Tampa Dental Studio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH TAMPA DENTAL STUDIO

Practice address

4306 West Kensington Ave.
Tampa, FL 33629

Phone

(813) 356-0555

Fax

(813) 320-0976

NPI assigned

Jul 19, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marnie Chall Bauer, D.M.DNPI 1013124387

Title

Owner

Phone

(813) 839-2273

Specialties & licenses 1

Addresses

Other names 1

• Kensington Dental, LLC Former legal business name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marnie Chall Bauer, DMD

  • Dentist
  • Tampa, FL
  • NPI 1013124387
  Authorized official Same address or phone
• Karen Burns, DMD

  • Dentist
  • Tampa, FL
  • NPI 1699090449
  NPD (past)
• Lennie Stern Friedman, DDS

  • Dentist
  • Tampa, FL
  • NPI 1518287119

  General Practice

  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063865673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 WEST KENSINGTON AVE.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33629",
            "telephone_number": "813-356-0555",
            "fax_number": "813-320-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 WEST KENSINGTON AVE.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33629",
            "telephone_number": "813-356-0555",
            "fax_number": "813-320-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TAMPA DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "CHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-839-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kensington Dental, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• South Florida Sunshine Services Inc.
• South Tampa After Hours Clinic, LLC
• South Tampa Cardiology LLC
• South Tampa Counseling Associates
• South Tampa Dental
• South Tampa Dermatology PL (South Tampa Dermatology)
• South Tampa Holdings, LLC
• South Tampa Imaging Associates PA
• South Tampa Klynergy Massage & Wellness
• South Tampa Medical Associates Inc

• 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.