Vallo Largo PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VALLO LARGO PLLC

Doing business as

The Dental Boutique Largo

Practice address

3700 E Bay Dr
Largo, FL 33771-1935

Phone

(727) 250-0052

NPI assigned

Nov 2, 2024

Last updated

Nov 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew M Vallo, DDSNPI 1114379500

Title

Owner

Phone

(412) 389-0977

Specialties & licenses 1

Addresses

Other names 1

• THE DENTAL BOUTIQUE LARGO Doing business as

Locations

Practitioners 1

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.

• Andrew Michael Vallo, D.D.S

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1114379500
  Authorized official Same address or phone

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1548083256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711935",
            "telephone_number": "727-250-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLO LARGO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A",
        "authorized_official_last_name": "VALLO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-389-0977",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DENTAL BOUTIQUE LARGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eyeneys Valdivia Gonzalez
• Dallas Francisco Valentine, NP
• Louis Wolfe Valentine, AU.D., CCC-A
• Valerie Ann Smith, D.P.M., P.a.
• Mairin Valladares Caride, DMD
• Value Based Long Term Care F PC
• Vamsi Kishor Allada DO PA
• Koenraad J Van Den Broeck, PT
• Christine Van Groesbeck, D.M.D.
• Olav J Van Hunnik, RPT

• Dental Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.