Organization Active NPI

Bay Implant and Perio, PLLC

Doing business as Bay Implant and Perio

  • Periodontics
  • Lynn Haven, FL
National Provider Identifier
1427900356
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
BAY IMPLANT AND PERIO, PLLC
Doing business as
Bay Implant and Perio
Bay Implant, Perio, and Endo
Practice address
514 Florida Ave
Lynn Haven, FL 32444-1736
Phone
(850) 832-8179
NPI assigned
Feb 12, 2026
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Patrick Fitzgerald, DMDNPI 1619327830
Title
Owner
Phone
(850) 855-3828

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
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

514 Florida Ave
Lynn Haven, FL 32444-1736

Mailing address

514 Florida Ave
Lynn Haven, FL 32444-1736
Phone (850) 832-8179

Other names 2

  • Bay Implant and Perio Doing business as
  • Bay Implant, Perio, and Endo Doing business as

National Provider Directory

National Provider Directory

Locations

514 Florida Ave
Lynn Haven, FL 32444
Phone (850) 265-3686

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1427900356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 FLORIDA AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441736",
            "telephone_number": "850-832-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 FLORIDA AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441736",
            "telephone_number": "850-832-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY IMPLANT AND PERIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-855-3828",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Implant and Perio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Implant, Perio, and Endo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.