Organization Active NPI

Bandeira Dental LLC

  • General Practice Dentistry
  • Clearwater, FL
National Provider Identifier
1457966756
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BANDEIRA DENTAL LLC
Doing business as
Sunset Point Dental
Practice address
2376 Sunset Point Rd
Clearwater, FL 33765-1423
Phone
(727) 953-3368
NPI assigned
Sep 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Dr. Andre Luiz Bandeira, DMDNPI 1841728409
Title
President
Phone
(312) 952-2193

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2376 Sunset Point Rd
Clearwater, FL 33765-1423

Mailing address

913 Wyngate CT
Safety Harbor, FL 34695-5650
Phone (312) 952-2193

Other names 1

  • Sunset Point Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2376 Sunset Point Rd
Clearwater, FL 33765
Phone (727) 799-1011

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1457966756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 WYNGATE CT",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955650",
            "telephone_number": "312-952-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 SUNSET POINT RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651423",
            "telephone_number": "727-953-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDEIRA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "BANDEIRA",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "LUIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-952-2193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Point Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.