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MIDTOWN DENTAL CENTER LLC
NPI 1992078521
Dentist - General Practice in St Petersburg, FL

Active since February 13, 2012
3011 CENTRAL AVE, ST PETERSBURG, FL 33713(727) 322-1828 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Midtown Dental Center Llc NPPES

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

MIDTOWN DENTAL CENTER LLC (NPI 1992078521) is a healthcare organization registered as a general practice in St Petersburg, Florida and active in the NPI registry since February 2012. The organization lists Jacqueline Nelson-mangatal, Dentist, as its authorized official.

NPPES Registry Identity

NPI1992078521
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMIDTOWN DENTAL CENTER LLC
Location Address3011 CENTRAL AVESt Petersburg, FL 33713-8632
Mailing AddressPo Box 12197St Petersburg, FL 33733-2197
Phone(727) 322-1828
Organization SubpartNo
Authorized OfficialJacqueline Nelson-mangatalDentist · (786) 316-5044
Enumeration DateFebruary 13, 2012
✔ NPI 1992078521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN16582
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.
3011 CENTRAL AVE, St Petersburg, FL 33713
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Other Identifiers 1

Medicaid075681400FL

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 2

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

JACQUELINE NELSON-MANGATAL D.D.S.
Dentist
3011 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (786) 316-5044
UNLIMITED MANAGEMENT GROUP LLC
Dentist (General Practice)
3011 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 322-1828

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 Midtown Dental Center LLC's NPI number?

The NPI number for Midtown Dental Center LLC is 1992078521. It was assigned to this organization in the NPPES registry on February 13, 2012.

Where is Midtown Dental Center LLC located?

Midtown Dental Center LLC is located at 3011 Central Ave, St Petersburg, FL 33713. The listed phone number is (727) 322-1828.

What is Midtown Dental Center 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 Midtown Dental Center LLC was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.