Dmitry Baron, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN27569 Issued in FL

Practice address

721 W Robertson St Ste 107B
Brandon, FL 33511-4900

Phone

(813) 654-4545

NPI assigned

Aug 18, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dmitry Baron D.D.S., PLLC

  • Periodontics
  • Brandon, FL
  • NPI 1073203808
  NPD Authorized official

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1679705131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W ROBERTSON ST STE 107B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W ROBERTSON ST STE 107B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114900",
            "telephone_number": "813-654-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Colmar Avenue",
            "address_2": "Bldg 440",
            "address_purpose": "LOCATION",
            "city": "Fort Stewart",
            "state": "GA",
            "postal_code": "31314",
            "country_code": "US",
            "telephone_number": "571-801-6831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARON",
        "first_name": "DMITRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "73994059921",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "7399405-9921",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN27569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Baptiste
• Jennie Ann Barber, RDH
• Monica Barcelo
• Norman Chad Bardsley, D.D.S.
• Ramiah Christiauna Barnhill
• Jacqueline Elizabeth Baron
• Chloe Lynn Barr
• Carlos Raul Barrameda Perez, PA
• Marilyn R Barrera, APRN
• Kenneth Jay Acab Barrientos, PT

• Periodontics in Brandon, FL
• Providers in Brandon, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.