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PARK BOULEVARD FAMILY DENTISTRY
NPI 1578170684
Dentist in Pinellas Park, FL

Active since September 24, 2020
4326 PARK BLVD N STE A, PINELLAS PARK, FL 33781(727) 291-0220 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Boulevard Family Dentistry NPPES

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

PARK BOULEVARD FAMILY DENTISTRY (NPI 1578170684) is a healthcare organization registered as a dentist in Pinellas Park, Florida and active in the NPI registry since September 2020. The organization lists Brianne Leigh Wade, Owner/president/dentist, as its authorized official.

NPPES Registry Identity

NPI1578170684
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePARK BOULEVARD FAMILY DENTISTRY
Location Address4326 PARK BLVD N STE APinellas Park, FL 33781-3538
Mailing Address4326 Park Blvd N Ste APinellas Park, FL 33781-3538 · (727) 291-0220
Phone(727) 291-0220
Organization SubpartNo
Authorized OfficialBrianne Leigh WadeOwner/president/dentist · (813) 244-6045
Enumeration DateSeptember 24, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1578170684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
4326 PARK BLVD N STE A, Pinellas Park, FL 33781
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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

Other Providers at the Same Location NPPES

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

AAREET SANDHU DDS
Dentist (General Practice)
4326 PARK BLVD N STE A
PINELLAS PARK, FL 33781
Pinellas County (727) 541-3502

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 Boulevard Family Dentistry's NPI number?

The NPI number for Park Boulevard Family Dentistry is 1578170684. It was assigned to this organization in the NPPES registry on September 24, 2020.

Where is Park Boulevard Family Dentistry located?

Park Boulevard Family Dentistry is located at 4326 Park Blvd N Ste A, Pinellas Park, FL 33781. The listed phone number is (727) 291-0220.

What is Park Boulevard Family Dentistry'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 Boulevard Family Dentistry was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.