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SOUTH TAMPA DENTAL STUDIO
NPI 1063865673
Dentist - General Practice in Tampa, FL

Active since July 19, 2016
4306 WEST KENSINGTON AVE., TAMPA, FL 33629(813) 356-0555(813) 320-0976 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 7, 2017 (2 updates tracked since 2017).

About South Tampa Dental Studio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH TAMPA DENTAL STUDIO (NPI 1063865673), doing business as Kensington Dental, Llc, is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since July 2016. The organization lists Marnie Chall Bauer, Owner, as its authorized official.

NPPES Registry Identity

NPI1063865673
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH TAMPA DENTAL STUDIO
Location Address4306 WEST KENSINGTON AVE.Tampa, FL 33629
Mailing Address4306 West Kensington Ave.Tampa, FL 33629 · (813) 356-0555 · Fax (813) 320-0976
Phone(813) 356-0555
Fax(813) 320-0976
Organization SubpartNo
Authorized OfficialMarnie Chall BauerOwner · (813) 839-2273
Enumeration DateJuly 19, 2016
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1063865673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4306 WEST KENSINGTON AVE., Tampa, FL 33629
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Other Names 1

Former Legal Business NameKensington Dental, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Solstice Benefits and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Tampa Dental Studio's NPI number?

The NPI number for South Tampa Dental Studio is 1063865673. It was assigned to this organization in the NPPES registry on July 19, 2016. The provider was formerly known as Kensington Dental, LLC.

Where is South Tampa Dental Studio located?

South Tampa Dental Studio is located at 4306 West Kensington Ave., Tampa, FL 33629. The listed phone number is (813) 356-0555.

What is South Tampa Dental Studio's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does South Tampa Dental Studio accept?

Health plans from Ambetter Health, Ambetter of Alabama, Solstice Benefits and UnitedHealthcare list South Tampa Dental Studio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Tampa Dental Studio was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.