Precident Florida PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PRECIDENT FLORIDA PLLC

Practice address

390 4TH St N
Saint Petersburg, FL 33701-2802

Phone

(727) 397-8503

Fax

(727) 398-2679

NPI assigned

Jan 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Scott L Bolding, DDS MS

Title

Owner

Phone

(479) 957-4611

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Precident Florida PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Precident Florida PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Largo, FL
  • NPI 1154045599
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Precident Florida PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Largo, FL
  • NPI 1154045599
  NPPES parent name

Practitioners 2

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

• Douglas G. Edwards, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1255878104
  NPD (past)
• Ronald C Kobernick, D.D.S., M.SC.D.

  • Periodontics
  • Largo, FL
  • NPI 1447417936
  NPD (past)

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1609464205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2523",
            "address_2": "DEPT 4316",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720332523",
            "telephone_number": "727-397-8503",
            "fax_number": "727-397-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337012802",
            "telephone_number": "727-397-8503",
            "fax_number": "727-398-2679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10601 Seminole Blvd",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337783329",
            "country_code": "US",
            "telephone_number": "727-397-8503",
            "fax_number": "727-398-2679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECIDENT FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BOLDING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-957-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prawer Medical Group
• Adam J Prawer, MD
• Catherine Marie Prawer, NP
• Richard Allen Prazak, MD
• Nickolas Adrian Preciado, DPT
• Precision Health Solutions, LLC
• Precision Pulmonary, LLC
• Preferred Injury Physicians of St. Petersburg
• Madora Preil, RN
• Premier Act Enterprises LLC

• Oral and Maxillofacial Surgery (Dentist) in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.