Active NPI
Largo Modern Dentistry, PA
- General Practice Dentistry
- Clearwater, FL
National Provider Identifier
1124905278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LARGO MODERN DENTISTRY, PA
- Practice address
- 4895 E Bay Dr Unit 100
Clearwater, FL 33764-6878 - Phone
- (727) 353-3945
- NPI assigned
- Aug 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meghan Hodder
- Title
- Owner
- Phone
- (714) 845-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
4895 E Bay Dr Unit 100
Clearwater, FL 33764-6878
Mailing address
PO Box 660041
Dallas, TX 75266-0041
National Provider Directory
National Provider DirectoryLocations
4895 E Bay Dr
Unit 100
Clearwater, FL 33764
Phone (727) 353-3945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755648000000",
"number": "1124905278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660041",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4895 E BAY DR UNIT 100",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337646878",
"telephone_number": "727-353-3945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARGO MODERN DENTISTRY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A",
"authorized_official_last_name": "HODDER",
"authorized_official_first_name": "MEGHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-845-8500"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
- Zoe Lara
- Christine Laramee, MD
- Emily Larcom
- Largo Medical Center, Inc. (HCA Florida Countryside ER, a department of HCA Florida Largo Hospital)
- Largo Medical Center, Inc. (Clearwater ER, a department of HCA Florida Largo Hospital)
- Tara Larkins, MS CCC SLP
- Larocca Chiropractic Centers LLC
- Michael Thomas Larocca, DC
- Jada Lee Larocco
- William Robert Larosa Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.