Organization Active NPI

Stallion Dental PLLC

  • Dental Clinic/Center
  • Clearwater, FL
National Provider Identifier
1558025528
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STALLION DENTAL PLLC
Practice address
2701 Park Dr Ste 4
Clearwater, FL 33763-1021
Phone
(727) 304-3156
NPI assigned
Oct 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Ziad Al Adham, DDSNPI 1063904787
Title
President
Phone
(727) 304-3156

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2701 Park Dr Ste 4
Clearwater, FL 33763-1021

Mailing address

12701 Saddle Club Cir Apt 203
Tampa, FL 33635-9689

Other names 1

  • Beyond Dentistry Clearwater Doing business as

National Provider Directory

National Provider Directory

Locations

2701 Park Dr
Ste 4
Clearwater, FL 33763
Phone (727) 304-3156

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": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1558025528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 SADDLE CLUB CIR APT 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 PARK DR STE 4",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631021",
            "telephone_number": "727-304-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLION DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "AL ADHAM",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-304-3156",
        "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": "Beyond Dentistry Clearwater",
            "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 Oct 26, 2021; 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.