Daxon & Grundset PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN 04596 Issued in FL

Legal business name

DAXON & GRUNDSET PLLC

Doing business as

Daxon & Grundset Dentistry

Practice address

111 2ND Ave NE Ste 1104
St Petersburg, FL 33701-3443

Phone

(727) 282-1970

Fax

(727) 608-1980

NPI assigned

Apr 25, 2014

Last updated

Apr 25, 2014By 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

Kenneth Grundest, DDS

Title

Partner

Phone

(727) 282-1970

Specialties & licenses 1

Addresses

Other names 1

• Daxon & Grundset Dentistry Doing business as

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1639599962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE STE 1104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013443",
            "telephone_number": "727-282-1970",
            "fax_number": "727-608-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE STE 1104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013443",
            "telephone_number": "727-282-1970",
            "fax_number": "727-608-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAXON & GRUNDSET PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "GRUNDEST",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "727-282-1970",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 04596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daxon & Grundset Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valery Davis, APRN
• Robin L. Davitt, EDD, ARNP, BC
• Rachel Dawkins, M.D.
• Jill Lisa Dawson, RPTA
• Lowell Dean Dawson, M.D.
• David E Daxon
• Kimberley Danley Daxon, D.D.S.
• Bruce Edward Day, MD
• Maritza Tovar Day, M.D.
• Savannah Michelle Day, PTA

• Dental Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, 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 Apr 25, 2014; 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.