Active NPI
Boland & Mannari LLC
- Oral & Maxillofacial Surgery (D.M.D.)
- St Petersburg, FL
National Provider Identifier
1760783468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- ME50633
- Legal business name
- BOLAND & MANNARI LLC
- Practice address
- 6540 4TH St N
Suite a
St Petersburg, FL 33702-6822 - Phone
- (727) 525-0155
- Fax
- (727) 525-0155
- NPI assigned
- Nov 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas J Boland, MD, DMD
- Title
- Physician
- Phone
- (727) 525-0155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | ME50633 | FL | Primary |
Addresses
Primary practice location
6540 4TH St N
Suite a
St Petersburg, FL 33702-6822
Mailing address
6540 4TH St N
Suite a
St Petersburg, FL 33702-6822
Phone (727) 525-0155
National Provider Directory
National Provider DirectoryLocations
6540 4th St N
Ste A
St Petersburg, FL 33702
Phone (727) 525-0155
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Clermont, FL
- NPI 1922609114
-
- Oral and Maxillofacial Surgery (Dentist)
- St Petersburg, FL
- NPI 1588008726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1760783468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6540 4TH ST N",
"address_2": "SUITE A",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337026822",
"telephone_number": "727-525-0155",
"fax_number": "727-525-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6540 4TH ST N",
"address_2": "SUITE A",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337026822",
"telephone_number": "727-525-0155",
"fax_number": "727-525-0155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOLAND & MANNARI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-11",
"last_updated": "2025-08-21",
"status": "A",
"authorized_official_last_name": "BOLAND",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "727-525-0155",
"authorized_official_credential": "MD, DMD"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": "FL",
"license": "ME50633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.