Organization Active NPI

Boulevard Dental Belleair LLC

  • General Practice Dentistry
  • Belleair, FL
National Provider Identifier
1811879182
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BOULEVARD DENTAL BELLEAIR LLC
Practice address
1016 Ponce de Leon Blvd Ste 4
Belleair, FL 33756-1082
Phone
(727) 349-3913
Fax
(727) 489-2831
NPI assigned
Jul 25, 2025
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Chris Wujick, DMDNPI 1740295674
Title
Owner
Phone
(352) 262-5220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1016 Ponce de Leon Blvd Ste 4
Belleair, FL 33756-1082

Mailing address

1016 Ponce de Leon Blvd Ste 4
Belleair, FL 33756-1082
Phone (727) 349-3913

National Provider Directory

National Provider Directory

Locations

1016 Ponce de Leon Blvd
Ste 4
Belleair, FL 33756
Phone (727) 585-9488

1016 Ponce de Leon Blvd
Clearwater, FL 33756
Phone (727) 393-6024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1811879182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 PONCE DE LEON BLVD STE 4",
            "city": "BELLEAIR",
            "state": "FL",
            "postal_code": "337561082",
            "telephone_number": "727-349-3913",
            "fax_number": "727-489-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 PONCE DE LEON BLVD STE 4",
            "city": "BELLEAIR",
            "state": "FL",
            "postal_code": "337561082",
            "telephone_number": "727-349-3913",
            "fax_number": "727-489-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD DENTAL BELLEAIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "WUJICK",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-262-5220",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleair, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.