David Dolgin, D.D.S. P.a.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3087 Issued in FL

Legal business name

DAVID DOLGIN, D.D.S. P.A.

Practice address

1311 W Busch Blvd
Tampa, FL 33612-7709

Phone

(813) 935-3585

NPI assigned

Jan 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Dolgin

Title

Pres.

Phone

(813) 254-2667

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508914763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RIVIERA DR",
            "address_2": "TAMPA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127709",
            "telephone_number": "813-935-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID DOLGIN, D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOLGIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "813-254-2667",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "3087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Periodontics 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.