Palm Harbor Premier Dental, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PALM HARBOR PREMIER DENTAL, INC.

Practice address

30685 US Highway 19 N
Palm Harbor, FL 34684-4410

Phone

(727) 249-0460

Fax

(727) 216-6627

NPI assigned

Apr 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David L Castellano, DMDNPI 1205990686

Title

Dentist/Vice-President

Phone

(727) 249-0460

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• David Louis Castellano, DMD

  • Dentist
  • Tampa, FL
  • NPI 1205990686
  NPD Authorized official

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1346981610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30685 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844410",
            "telephone_number": "727-249-0460",
            "fax_number": "727-216-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30685 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844410",
            "telephone_number": "727-249-0460",
            "fax_number": "727-216-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR PREMIER DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "CASTELLANO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/VICE-PRESIDENT",
        "authorized_official_telephone_number": "727-249-0460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "DN15383",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "DN17378",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Harbor Pediatric Urgent Care Center PA
• Palm Harbor Pediatrics PA
• Palm Harbor Physical Therapy
• Palm Harbor Plastic Surgery Center
• Palm Harbor Post Acute LLC
• Palm Harbor Sedation & Family Dentistry
• Palm Harbor Smiles PA
• Palm Harbor Westchase Medical Group PA
• Palms Heart Center PA
• Brandon Collins Panno

• Dentist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.