Active NPI
Vallo Largo PLLC
- Dental Clinic/Center
- Largo, FL
National Provider Identifier
1548083256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- VALLO LARGO PLLC
- Practice address
- 3700 E Bay Dr
Largo, FL 33771-1935 - Phone
- (727) 250-0052
- NPI assigned
- Nov 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew M Vallo, DDS
- Title
- Owner
- Phone
- (412) 389-0977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3700 E Bay Dr
Largo, FL 33771-1935
Mailing address
3700 E Bay Dr
Largo, FL 33771-1935
Other names 1
- THE DENTAL BOUTIQUE LARGO
National Provider Directory
National Provider DirectoryNPI Registry JSON
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"
}
]
}
Other providers in Largo, FL
Sources for this page
- 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.