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GD FL CHAMPAGNE PLLC
NPI 1639994353
Dentist - General Practice in St Petersburg, FL

Active since November 18, 2024
6658 1ST AVE S, ST PETERSBURG, FL 33707(727) 384-6656 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gd Fl Champagne Pllc NPPES

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

GD FL CHAMPAGNE PLLC (NPI 1639994353), doing business as Champagne Dental, is a healthcare organization registered as a general practice in St Petersburg, Florida and active in the NPI registry since November 2024. The organization maintains a secondary practice location in Clearwater and lists Chad Hendricks, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1639994353
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGD FL CHAMPAGNE PLLC
Location Address6658 1ST AVE SSt Petersburg, FL 33707-1320
Mailing Address6658 1st Ave SSt Petersburg, FL 33707-1320 · (727) 384-6656
Phone(727) 384-6656
Organization SubpartNo
Authorized OfficialChad HendricksCredentialing · (612) 859-0444
Enumeration DateNovember 18, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1639994353 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.
6658 1ST AVE S, St Petersburg, FL 33707
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Other Names 1

Doing Business AsChampagne Dental

Secondary Practice Location 1

Location 11330 S Belcher RdClearwater, FL 33764-3713 · Phone (727) 263-4197

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

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. GEORGE EDWARD HITZEL DDS
Dentist (General Practice)
6658 1ST AVE S
ST PETERSBURG, FL 33707
Pinellas County (727) 384-6656

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 Gd Fl Champagne PLLC's NPI number?

The NPI number for Gd Fl Champagne PLLC is 1639994353. It was assigned to this organization in the NPPES registry on November 18, 2024. The provider is doing business as Champagne Dental.

Where is Gd Fl Champagne PLLC located?

Gd Fl Champagne PLLC is located at 6658 1st Ave S, St Petersburg, FL 33707. The listed phone number is (727) 384-6656.

What is Gd Fl Champagne PLLC'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 Gd Fl Champagne PLLC was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.