Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

License

FL5865 Issued in FL

Legal business name

DENTAL ASSOCIATES

Doing business as

Suncoast Dental Center

Practice address

4850 1St Av N
St Petersburg, FL 33713-8108

Phone

(727) 321-4850

Fax

(727) 323-1679

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Wayne H Kehm, DDS PANPI 1306030069

Title

Owner

Phone

(727) 321-4850

Specialties & licenses 1

Addresses

Other names 1

• Suncoast Dental Center Doing business as

Locations

Practitioners 1

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

• Wayne H. Kehm II, DDS, PA

  • General Practice Dentistry
  • St Petersburg, FL
  • NPI 1306030069
  NPD (past) Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1982897633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 1ST AV N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138108",
            "telephone_number": "727-321-4850",
            "fax_number": "727-323-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 1ST AV N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138108",
            "telephone_number": "727-321-4850",
            "fax_number": "727-323-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "KEHM",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-321-4850",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "FL5865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Mark Denny, M.D.
• Denori Psychiatry LLC
• Drew Michael Denson, DC
• Dental Arts Ninth Street P.a.
• Dental Arts Tyrone PA
• Dental Care PC PLLC (Ninth Street Dental Care)
• Dental Group of TN
• Brooke Denton, DMD
• Charlotte Deolaso, ARNP
• Gwendolyn Westerhoff Deoliveira, LMHC

• Dentist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.