De Lucia Family Dental, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DN18757 Issued in FL

Legal business name

DE LUCIA FAMILY DENTAL, LLC

Practice address

6700 Crosswinds Dr N
Suite 300 C
Saint Petersburg, FL 33710-8602

Phone

(727) 341-2422

NPI assigned

May 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ping Ping H De Lucia, D.M.D,

Title

Managing Member

Phone

(727) 215-3963

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Charles Leonard Gary Jr., DDS

  • General Practice Dentistry
  • St Petersburg, FL
  • NPI 1811913817
  NPD (past)

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1932468675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 CROSSWINDS DR N",
            "address_2": "SUITE 300 C",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337108602",
            "telephone_number": "727-341-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 CROSSWINDS DR N",
            "address_2": "SUITE 300 C",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337108602",
            "telephone_number": "727-341-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LUCIA FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "DE LUCIA",
        "authorized_official_first_name": "PING PING",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-215-3963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D,"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "DN18757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutgarda Sanchez De Jesus
• Magdeline De la Cruz Lago, BCABA
• Karleidys De la Hoz
• Peggy L De Lara, A.P., OMD
• Rachael Catherine De Lorenzo, BS., BCBA
• Paul De Lucia, DOM
• Nicole Chantal De Paz, MD
• Rose Margaret De Sapio, MS
• Luciara De Souza, M.D.
• Patricia Yvette De Tomas-Medina, PA-C

• Preferred Provider Organization in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.