Palm Harbor Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PALM HARBOR DENTAL GROUP

Practice address

30685 US Highway 19 N
Palm Harbor, FL 34684-4410

Phone

(727) 249-0460

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Shirley Bocas

Title

Office Manager

Phone

(727) 249-0460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1699554238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30685 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30685 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844410",
            "telephone_number": "727-249-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A",
        "authorized_official_last_name": "BOCAS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-249-0460"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wayne Paliga Jr., PTA
• Palm Harbor Chiropractic and Rehabilitation Clinic, Inc.
• Palm Harbor Christian Counseling Center of Timothy N. Daley, PHD PA
• Palm Harbor Counseling Team
• Palm Harbor Dental Associates Inc
• Palm Harbor Dermatology PA
• Palm Harbor Family Counseling Center
• Palm Harbor Family Counseling Center Inc.
• Palm Harbor Family Dentistry
• Palm Harbor FL Opco LLC

• Dental Clinic/Center in Palm Harbor, FL
• Providers in Palm Harbor, 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 Sep 25, 2023; 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.