Taylor Lawrence Dietl, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26441 Issued in FL

Practice address

4300 4TH St N
St Petersburg, FL 33703-4700

Phone

(727) 353-1901

NPI assigned

Aug 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Denture Place, LLC

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1851981195
  NPD

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1821765462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034700",
            "telephone_number": "727-353-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETL",
        "first_name": "TAYLOR",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurette M Dicarlo, ARNP
• Melissa Diciaula
• Bernard Paul Dickinson II
• Christina Bickley Didyk, D.O.M.
• Adam Diehm, DC
• Kimberly Slade Dietz, PTA
• Au Dieu
• Darla Diferdinando, OTA
• Digestive Anesthesia Associates LLC
• Patrick Diggs, LCSW

• General Practice Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.