NPIMap

Organization Active NPI

Precident Florida PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Largo, FL
National Provider Identifier
1154045599
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
PRECIDENT FLORIDA PLLC
Practice address
10601 Seminole Blvd
Largo, FL 33778-3329
Phone
(727) 397-8503
Fax
(727) 398-2679
NPI assigned
Sep 29, 2022
Organization subpart
Yes
Parent organization
PRECIDENT FLORIDA PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Dr. Scotty L Bolding, DDS
Title
Owner
Phone
(479) 957-4611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

10601 Seminole Blvd
Largo, FL 33778-3329

Mailing address

10601 Seminole Blvd
Largo, FL 33778-3329
Phone (727) 397-8503

National Provider Directory

National Provider Directory
Tax ID family
Precident Florida PLLC2 organizations share this tax ID, including this one
Part of
Precident Florida PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1154045599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783329",
            "telephone_number": "727-397-8503",
            "fax_number": "727-398-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783329",
            "telephone_number": "727-397-8503",
            "fax_number": "727-398-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIDENT FLORIDA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECIDENT FLORIDA PLLC",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "BOLDING",
        "authorized_official_first_name": "SCOTTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-957-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.