Dental Specialty Group of Pinellas

Primary specialty

DentistTaxonomy code 122300000X

License

DN5630 Issued in FL

Legal business name

DENTAL SPECIALTY GROUP OF PINELLAS

Practice address

4326 Park Blvd
C East
Pinellas Park, FL 33781-3555

Phone

(727) 544-5345

Fax

(727) 547-8263

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Jean Durbin

Title

Office Manager

Phone

(727) 544-5345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447327010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 PARK BLVD",
            "address_2": "C EAST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813555",
            "telephone_number": "727-544-5345",
            "fax_number": "727-547-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 PARK BLVD",
            "address_2": "C EAST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813555",
            "telephone_number": "727-544-5345",
            "fax_number": "727-547-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALTY GROUP OF PINELLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-544-5345",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN5630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decision Management International Health Care Group, Inc
• Richard Degregorio, M.D.
• Tanthia Chanel Delgado
• Alyssa Delturco
• Shauntia Demps, CNA/HHA, CPT
• Dental Specialty Group of Tampa Bay PLLC
• Hemant R Desai, MD
• Amanda A Alburquerque Desjardins, M.S., BCBA
• Lukas Michael Desjardins
• Brena Desouza

• Dentist in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.