PRECIDENT FLORIDA PLLC
NPI 1609464205
Dentist - Oral and Maxillofacial Surgery in Saint Petersburg, FL

Q: What is Precident Florida PLLC's NPI number?

The NPI number for Precident Florida PLLC is 1609464205. It was assigned to this organization in the NPPES registry on January 8, 2021.

Q: 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.

Active since January 08, 2021CLIA 10D2211323 · Waiver

390 4TH ST N, SAINT PETERSBURG, FL 33701(727) 397-8503(727) 398-2679 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2022, Dec 27, 2021, Oct 14, 2021 and 3 more (6 updates tracked since 2021).

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About Precident Florida Pllc NPPES

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

PRECIDENT FLORIDA PLLC (NPI 1609464205) is a healthcare organization registered as an oral and maxillofacial surgery in Saint Petersburg, Florida and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through January 26, 2027, maintains a secondary practice location in Largo, and lists Scott L Bolding, Owner, as its authorized official.

NPPES Registry Identity

NPI1609464205

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NamePRECIDENT FLORIDA PLLC

Location Address390 4TH ST NSaint Petersburg, FL 33701-2802

Mailing AddressPo Box 2523, Dept 4316Conway, AR 72033-2523 · (727) 397-8503 · Fax (727) 397-2679

Phone(727) 397-8503

Fax(727) 398-2679

Organization SubpartNo

Authorized OfficialScott L BoldingOwner · (479) 957-4611

Enumeration DateJanuary 8, 2021

Last NPPES UpdateJune 7, 20226 updates tracked since enumeration

NPPES CertifiedJune 7, 2022

✔ NPI 1609464205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X

390 4TH ST N, Saint Petersburg, FL 33701

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Secondary Practice Location 1

Location 110601 Seminole BlvdLargo, FL 33778-3329 · Phone (727) 397-8503 · Fax (727) 398-2679

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 10D2211323

Precident Florida, PLLC · Saint Petersburg, FL

Active · expires Jan 26, 2027

CLIA Number10D2211323

Laboratory TypePhysician Office

Certificate Effective DateJanuary 27, 2025

Certificate Expiration DateJanuary 26, 2027

Laboratory DirectorScott L. Bolding

Laboratory Phone(727) 300-0184

Laboratory LocationPrecident Florida, PLLC390 4th St N, Saint Petersburg, FL 33701

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.

DEWITT C WILKERSON DMD PA

Durable Medical Equipment & Medical Supplies (Customized Equipment)

390 4TH ST N
ST PETERSBURG, FL 33701

Pinellas County (727) 282-1980

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 1609464205. It was assigned to this organization in the NPPES registry on January 8, 2021.

Where is Precident Florida PLLC located?

Precident Florida PLLC is located at 390 4th St N, Saint Petersburg, FL 33701. 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 10D2211323) is associated with this NPI, valid through January 26, 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 June 7, 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.