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CLEARWATER MODERN DENTISTRY
NPI 1760156889
Dentist - General Practice in Clearwater, FL

Active since August 03, 2021
2544 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761(727) 286-3588(727) 287-4727 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Aug 3, 2021 (2 updates tracked since 2021).

About Clearwater Modern Dentistry NPPES

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

CLEARWATER MODERN DENTISTRY (NPI 1760156889) is a healthcare organization registered as a general practice in Clearwater, Florida and active in the NPI registry since August 2021. The organization lists Minh Pham, Owner, as its authorized official.

NPPES Registry Identity

NPI1760156889
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLEARWATER MODERN DENTISTRY, PA
Location Address2544 N MCMULLEN BOOTH RDClearwater, FL 33761-4150
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Phone(727) 286-3588
Fax(727) 287-4727
Organization SubpartNo
Authorized OfficialMinh PhamOwner · (727) 286-3588
Enumeration DateAugust 3, 2021
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1760156889 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.
2544 N MCMULLEN BOOTH RD, Clearwater, FL 33761
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Other Names 2

Doing Business AsClearwater Modern Dentistry
Doing Business AsNorthwood Modern Dentistry

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

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 Clearwater Modern Dentistry, PA's NPI number?

The NPI number for Clearwater Modern Dentistry, PA is 1760156889. It was assigned to this organization in the NPPES registry on August 3, 2021. The provider is doing business as Clearwater Modern Dentistry and Northwood Modern Dentistry.

Where is Clearwater Modern Dentistry, PA located?

Clearwater Modern Dentistry, PA is located at 2544 N Mcmullen Booth Rd, Clearwater, FL 33761. The listed phone number is (727) 286-3588.

What is Clearwater Modern Dentistry, PA's specialty?

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

What insurance does Clearwater Modern Dentistry, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Clearwater Modern Dentistry, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clearwater Modern Dentistry, PA was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.