Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ST. MOSES DENTAL LLC
NPI 1548167984
Dentist - General Practice in Palm Harbor, FL

Q: What is St. Moses Dental LLC's NPI number?

The NPI number for St. Moses Dental LLC is 1548167984. It was assigned to this organization in the NPPES registry on October 20, 2026. The provider is doing business as Coral Reef Dental.

Q: What is St. Moses Dental LLC's specialty?

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

Active since October 20, 2026

3490 E LAKE RD STE A, PALM HARBOR, FL 34685(727) 789-1333 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About St. Moses Dental Llc NPPES

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

ST. MOSES DENTAL LLC (NPI 1548167984), doing business as Coral Reef Dental, is a healthcare organization registered as a general practice in Palm Harbor, Florida and active in the NPI registry since October 2026. The organization lists Mina Bassaly, Owner, as its authorized official.

NPPES Registry Identity

NPI1548167984

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameST. MOSES DENTAL LLC

Location Address3490 E LAKE RD STE APalm Harbor, FL 34685-2421

Mailing Address3490 E Lake Rd Ste APalm Harbor, FL 34685-2421 · (727) 789-1333

Phone(727) 789-1333

Organization SubpartNo

Authorized OfficialMina BassalyOwner · (727) 637-5231

Enumeration DateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1548167984 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.

3490 E LAKE RD STE A, Palm Harbor, FL 34685

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Other Names 1

Doing Business AsCoral Reef Dental

Other Providers at the Same Location NPPES 3

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

DR. PAUL L CAPUTO DDS

Dentist

3490 E LAKE RD STE A
PALM HARBOR, FL 34685

Pinellas County (727) 789-1333

CORAL REEF DENTAL LLC

Clinic/Center (Dental)

3490 E LAKE RD STE A
PALM HARBOR, FL 34685

Pinellas County (727) 789-1333

ANIDA CAPURI DMD

Dentist (General Practice)

3490 E LAKE RD STE A
PALM HARBOR, FL 34685

Pinellas County (727) 789-1333

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 St. Moses Dental LLC's NPI number?

The NPI number for St. Moses Dental LLC is 1548167984. It was assigned to this organization in the NPPES registry on October 20, 2026. The provider is doing business as Coral Reef Dental.

Where is St. Moses Dental LLC located?

St. Moses Dental LLC is located at 3490 E Lake Rd Ste A, Palm Harbor, FL 34685. The listed phone number is (727) 789-1333.

What is St. Moses Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for St. Moses Dental LLC was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.