Organization Active NPI

Grace Family Dental PLLC

  • General Practice Dentistry
  • St Petersburg, FL
National Provider Identifier
1164377511
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRACE FAMILY DENTAL PLLC
Practice address
3820 5TH Ave N Ste B
St Petersburg, FL 33713-7538
Phone
(727) 321-9610
Fax
(727) 513-2202
NPI assigned
Mar 2, 2026
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Dr. Grace Catherine Bauer, DMDNPI 1598342396
Title
General Dentist/Owner
Phone
(727) 321-9610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3820 5TH Ave N Ste B
St Petersburg, FL 33713-7538

Mailing address

3820 5TH Ave N Ste B
St Petersburg, FL 33713-7538
Phone (727) 321-9610

National Provider Directory

National Provider Directory

Locations

3820 5th Ave N
Ste B
St Petersburg, FL 33713
Phone (727) 321-9610

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1164377511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 5TH AVE N STE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137538",
            "telephone_number": "727-321-9610",
            "fax_number": "727-513-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 5TH AVE N STE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137538",
            "telephone_number": "727-321-9610",
            "fax_number": "727-513-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "727-321-9610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.