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PRECIDENT FLORIDA PLLC
NPI 1154045599
Dentist - Oral and Maxillofacial Surgery in Largo, FL

Active since September 29, 2022CLIA 10D2220945 · Waiver
10601 SEMINOLE BLVD, LARGO, FL 33778(727) 397-8503(727) 398-2679 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Sep 29, 2022 (2 updates tracked since 2022).

About Precident Florida Pllc NPPES

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

PRECIDENT FLORIDA PLLC (NPI 1154045599) is a healthcare organization registered as an oral and maxillofacial surgery in Largo, Florida and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Scotty L Bolding, Owner, as its authorized official.

NPPES Registry Identity

NPI1154045599
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePRECIDENT FLORIDA PLLC
Location Address10601 SEMINOLE BLVDLargo, FL 33778-3329
Mailing Address10601 Seminole BlvdLargo, FL 33778-3329 · (727) 397-8503 · Fax (727) 398-2679
Phone(727) 397-8503
Fax(727) 398-2679
Organization SubpartYes
Authorized OfficialScotty L BoldingOwner · (479) 957-4611
Enumeration DateSeptember 29, 2022
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1154045599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
10601 SEMINOLE BLVD, Largo, FL 33778
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2220945

Precident Florida, PLLC · Largo, FL
Active · expires Apr 15, 2027
CLIA Number10D2220945
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorScott L. Bolding
Laboratory Phone(727) 300-0184
Laboratory LocationPrecident Florida, PLLC10601 Seminole Blvd, Largo, FL 33778
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD C KOBERNICK D.D.S., M.SC.D.
Dentist (Periodontics)
10601 SEMINOLE BLVD
LARGO, FL 33778
Pinellas County (727) 397-8503

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 Precident Florida PLLC's NPI number?

The NPI number for Precident Florida PLLC is 1154045599. It was assigned to this organization in the NPPES registry on September 29, 2022.

Where is Precident Florida PLLC located?

Precident Florida PLLC is located at 10601 Seminole Blvd, Largo, FL 33778. The listed phone number is (727) 397-8503.

What is Precident Florida PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Does Precident Florida PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2220945) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Precident Florida PLLC was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.