Largo Dental One PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LARGO DENTAL ONE PA

Practice address

1475 Belcher Rd S
Largo, FL 33771-5243

Phone

(727) 287-1555

Fax

(727) 290-0589

NPI assigned

Dec 22, 2021

Organization subpart

No

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

Authorized official

Name

Andrew Crouch

Title

VP

Phone

(321) 872-8820

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geri Bako, D.M.D.

  • Student in an Organized Health Care Education/Training Program
  • Gainesville, FL
  • NPI 1366180820

  General Practice

  NPD
• Will David Moore, DDS

  • Dentist
  • Palm Harbor, FL
  • NPI 1851022768
  NPD (past)

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1851051536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715243",
            "telephone_number": "727-287-1555",
            "fax_number": "727-290-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715243",
            "telephone_number": "727-287-1555",
            "fax_number": "727-290-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARGO DENTAL ONE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "321-872-8820"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Largo Acute Services LLC
• Largo Ambulatory Surgery Center LLC
• Largo Anesthesia Associates
• Largo Ca . LLC
• Largo Clinic LLC
• Largo Endoscopy Center LP
• Largo Family Eye Care
• Largo Health Care Associates LLC
• Largo Investments & Associates
• Largo Investments and Associates LLC

• General Practice Dentistry in Largo, FL
• Providers in Largo, 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 Dec 22, 2021; 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.