PARK STREET DENTAL
NPI 1154776730
Dentist in St Petersburg, FL

Q: What is Park Street Dental's NPI number?

The NPI number for Park Street Dental is 1154776730. It was assigned to this organization in the NPPES registry on May 2, 2016.

Q: What is Park Street Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 02, 2016

4911 PARK ST N, SUITE A, ST PETERSBURG, FL 33709(727) 548-7733(727) 548-0015 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Park Street Dental NPPES

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

PARK STREET DENTAL (NPI 1154776730) is a healthcare organization registered as a dentist in St Petersburg, Florida and active in the NPI registry since May 2016. The organization lists Jose M Garcia, Owner, as its authorized official.

NPPES Registry Identity

NPI1154776730

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePARK STREET DENTAL

Location Address4911 PARK ST N, SUITE ASt Petersburg, FL 33709-2227

Mailing Address4911 Park St N, Suite ASt Petersburg, FL 33709-2227 · (727) 548-7733 · Fax (727) 548-0015

Phone(727) 548-7733

Fax(727) 548-0015

Organization SubpartNo

Authorized OfficialJose M GarciaOwner · (727) 548-7733

Enumeration DateMay 2, 2016

✔ NPI 1154776730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN11980

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4911 PARK ST N, St Petersburg, FL 33709

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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

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 Park Street Dental's NPI number?

The NPI number for Park Street Dental is 1154776730. It was assigned to this organization in the NPPES registry on May 2, 2016.

Where is Park Street Dental located?

Park Street Dental is located at 4911 Park St N Suite A, St Petersburg, FL 33709. The listed phone number is (727) 548-7733.

What is Park Street Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Park Street Dental was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.