Green Bench Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GREEN BENCH DENTAL, LLC

Practice address

1015 58TH St N
Saint Petersburg, FL 33710-6326

Phone

(727) 381-2809

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Caroline Krauser, DMDNPI 1841602356

Title

Owner/ MGR

Phone

(727) 381-2809

Specialties & licenses 1

Addresses

Other names 1

• Green Bench Dental Doing business as

Locations

Practitioners 3

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

• Lauren Caroline Krauser, DMD

  • Dentist
  • St Petersburg, FL
  • NPI 1841602356
  NPD Authorized official
• Rachel Dwyer, DMD

  • Dentist
  • St Petersburg, FL
  • NPI 1245924588
  NPD
• Mary Ann Pittman, D.M.D.

  • General Practice Dentistry
  • St. Petersburg, FL
  • NPI 1730300682
  NPD (past)

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1962097915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 58TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337106326",
            "telephone_number": "727-381-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 58TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337106326",
            "telephone_number": "727-381-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN BENCH DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "KRAUSER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER/ MGR",
        "authorized_official_telephone_number": "727-381-2809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Bench Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Greater Tampa Bay Physicians Pinellas, LLC
• Muireann Greely, PHARMD
• Alisa Green
• Anna Grace Blackman Green, CRNA
• Blessing Green, PA-C
• Chelsie Nicole Green
• Deanna Mae Green, MD

• All providers in Saint Petersburg, FL
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.