Exceptional Dental of Saint Petersburg

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN21089 Issued in FL

Legal business name

EXCEPTIONAL DENTAL OF SAINT PETERSBURG

Practice address

3238 4TH St N
St Petersburg, FL 33704-2127

Phone

(727) 388-3429

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Thuy Nguyen, DDSNPI 1861894180

Title

General Dentist

Phone

(727) 388-3429

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Thuy Nguyen, D.D.S

  • Dentist
  • St Petersburg, FL
  • NPI 1861894180
  NPD (past) Authorized official
• Thomas Edward Quillin II, DDS

  • Dentist
  • St. Petersburg, FL
  • NPI 1699889063
  NPD (past)

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1255848768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042127",
            "telephone_number": "727-388-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042127",
            "telephone_number": "727-388-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL DENTAL OF SAINT PETERSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THUY",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "727-388-3429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN21089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, 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 Jan 5, 2018; 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.