Philip R Bartolazo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14528 Issued in FL

Practice address

2685 Ulmerton Rd
Suite 103
Clearwater, FL 33762-5328

Phone

(727) 572-4063

Fax

(727) 573-1075

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Dental Alliance of Clearwater, PLLC

  • Dentist
  • Clearwater, FL
  • NPI 1447723804
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679585780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025924",
            "telephone_number": "727-521-1818",
            "fax_number": "727-525-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 ULMERTON RD",
            "address_2": "SUITE 103",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625328",
            "telephone_number": "727-572-4063",
            "fax_number": "727-573-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLAZO",
        "first_name": "PHILIP",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry M Rodwick MD LLC
• Michael O'Neill Barry, M.D.
• Samantha Barry
• Shannon Marie Barsema, PHD
• Nicole Bartell
• Taylor Barzowski, DC
• Jeffrey William Barzyk, D.M.D.
• Brandon Michael Basehore, DO
• Lya Basha, DPM
• Diane Lynn Bashton, R.N.

• General Practice Dentistry in Clearwater, FL
• Providers in Clearwater, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.