Bayshore Pediatric Dentistry and Orthodontics PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BAYSHORE PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC

Practice address

8002 Beaty Grove Dr
Tampa, FL 33626-1601

Phone

(813) 324-1535

NPI assigned

Aug 30, 2023

Organization subpart

No

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

Authorized official

Name

Erica ViceNPI 1164880399

Title

Dentist

Phone

(813) 324-1535

Specialties & licenses 1

Addresses

Practitioners 1

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

• Erica Vice

  • Pediatric Dentistry
  • Brandon, FL
  • NPI 1164880399
  NPD Authorized official

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1194500827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11941 WANDSWORTH DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 BEATY GROVE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261601",
            "telephone_number": "813-324-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "VICE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-324-1535"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayshore Geriatric Solutions, Inc.
• Bayshore Home Health Care, Inc.
• Bayshore Medical Group P L
• Bayshore Nutrition LLC
• Bayshore Orthodontics PLLC
• Bayshore Podiatry Center
• Bayshore Podiatry Center Inc
• Bayside Breeze Therapy LLC
• Bayside Family Eyecare
• Bayside Family Healthcare Clinic

• Dental Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.