Dmitry Baron D.D.S., PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

DMITRY BARON D.D.S., PLLC

Practice address

721 W Robertson St Ste 107B
Brandon, FL 33511-4900

Phone

(813) 654-4545

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry Baron, DDSNPI 1679705131

Title

Periodontist

Phone

(813) 654-4545

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dmitry Baron, DDS

  • Periodontics
  • Brandon, FL
  • NPI 1679705131
  NPD Authorized official

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1073203808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W ROBERTSON ST STE 107B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114900",
            "telephone_number": "813-654-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W ROBERTSON ST STE 107B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114900",
            "telephone_number": "813-654-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMITRY BARON D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "813-654-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Brandon, FL
• Providers in Brandon, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.