Tampa Bay Dental Implants & Periodontics, PL

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN17038 Issued in FL

Legal business name

TAMPA BAY DENTAL IMPLANTS & PERIODONTICS, PL

Practice address

6700 Crosswinds Dr N
Suite 200B
St Petersburg, FL 33710-8602

Phone

(727) 384-9122

NPI assigned

Dec 18, 2008

Last updated

Dec 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Yu, DMDNPI 1568509941

Title

President

Phone

(727) 384-9122

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, and the practitioner matching its NPPES authorized official.

• Robert J Yu, D.M.D.

  • Periodontics
  • St Petersburg, FL
  • NPI 1568509941
  NPD (past) Authorized official
• Leslie S Brown, DDS

  • Periodontics
  • St Petersburg, FL
  • NPI 1669658985
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1295971463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 CROSSWINDS DR N",
            "address_2": "SUITE 200B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108602",
            "telephone_number": "727-384-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 CROSSWINDS DR N",
            "address_2": "SUITE 200B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108602",
            "telephone_number": "727-384-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY DENTAL IMPLANTS & PERIODONTICS, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-384-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conrad D Tamea Jr., MD
• Tampa Bay Anesthesia, LLC
• Tampa Bay Behavioral Health Centers LLC
• Tampa Bay Cosmetic Surgery Center LLC
• Tampa Bay Cryo
• Tampa Bay Diabetes, Thyroid, & Endocrinology Center, PA
• Tampa Bay Eye Surgery Center, LLC
• Tampa Bay Hospitalists LLC
• Tampa Bay Maxillofacial Surgery, PLLC
• Tampa Bay Med Inc

• 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 Dec 18, 2008; 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.