Organization Active NPI

Klement Family Dental, P.a.

  • Dental Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1245407832
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN8208 Issued in FL
Legal business name
KLEMENT FAMILY DENTAL, P.A.
Doing business as
Klement Family Dental
Practice address
7650 38TH Avenue North
St Petersburg, FL 33710
Phone
(727) 343-8831
Fax
(727) 345-5396
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Mr. Stephen Matthew Klement, DMDNPI 1790231058
Title
Dentist
Phone
(727) 343-8831

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
Dental Clinic/Center 261QD0000X DN8208 FL Primary

Addresses

Primary practice location

7650 38TH Avenue North
St Petersburg, FL 33710

Mailing address

7650 38TH Avenue North
St Petersburg, FL 33710
Phone (727) 343-8831

Other names 1

  • Klement Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Klement Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7650 38th Ave N
St Petersburg, FL 33710
Phone (727) 343-8831

Practitioners & affiliated clinicians

Practitioners 4

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": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1245407832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 38TH AVENUE NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-343-8831",
            "fax_number": "727-345-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 38TH AVENUE NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-343-8831",
            "fax_number": "727-345-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEMENT FAMILY DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "KLEMENT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "727-343-8831",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN8208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klement Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 2019; 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.