Dalton Periodontal, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN-14976 Issued in FL

Legal business name

DALTON PERIODONTAL, LLC

Doing business as

Dalton Dental

Practice address

4511 W Gandy Blvd
Tampa, FL 33611-3303

Phone

(813) 872-8300

NPI assigned

Oct 27, 2014

Organization subpart

No

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

Authorized official

Name

Hilary Dalton, DMD, MS

Title

Owner

Phone

(813) 872-8300

Specialties & licenses 1

Addresses

Other names 1

• Dalton Dental Doing business as

Locations

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1700281201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 W GANDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 W GANDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113303",
            "telephone_number": "813-872-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON PERIODONTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-872-8300",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN-14976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dalton Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nadezhda Dallier, PHARMACIST
• Spencena Dalmas
• Amelia Dalphonse, BS, MA, BCBA
• Jamie Dalrymple
• Megan Faye Dalrymple
• Hilary Rae Dalton, D.M.D., M.S.
• William Dalton, MD
• Lee Daly, LCSW
• Rhianna Daly
• Theresa X Dam Lohmiller, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.