ALPHA DENTAL SERVICES, INC. (NPI# 1376702332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376702332 |
| Entity Type | Organization |
| Organization Name | ALPHA DENTAL SERVICES, INC. |
| Practice Address |
243 32nd St N St Petersburg FL 33713-8537 |
| Practice Telephone | 7273234003 |
| Practice Fax Number | 7273234063 |
| Mailing Telephone | 7273234003 |
| Mailing Fax Number | 7273234063 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2010-12-30 |
| Authorized Official Name | DR. CHRISTINA RUDMAN (OWNER) |
| Authorized Official Telephone | 7273234003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN 12243 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 075685700 | 05 |
| Street Address |
243 32ND ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-8537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264374 | Dental Arts Ninth Street P.a. | Dentist | 7451 9th St N, St Petersburg, FL 33702-5203 | 2020-01-17 |
| 1811548407 | Florida Dental Professionals, P.a. | Dentist | 390 4th St N Ste 101, St Petersburg, FL 33701-2802 | 2019-09-25 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1932530920 | Dynamic Dental Health Associates of Virginia | Dentist | 9400 4th St N Ste 200, St Petersburg, FL 33702-2501 | 2013-12-02 |
| 1144513334 | Robert Stephen Pastorius | Dentist | 3864 5th Ave N, St Petersburg, FL 33713-7521 | 2011-05-19 |
| 1851697163 | Earl J Schandle | Dentist | 6715 4th St N, St Petersburg, FL 33702-6842 | 2011-02-03 |
| 1396912564 | Brian F Vestal | Dentist | 200 Pasadena Ave S, St Petersburg, FL 33707-1251 | 2008-05-15 |
| 1538349998 | Meagan Elizabeth Simmons | Dentist | 7650 38th Ave N, St Petersburg, FL 33710-1233 | 2007-11-13 |
| 1306030069 | Wayne H. Kehm II | Dentist | 4850 1st Ave N, St Petersburg, FL 33713-8108 | 2007-09-05 |
| 1528263183 | Thomas O Johnson Dds Pa | Dentist | 2663 1st Ave N, St Petersburg, FL 33713-8703 | 2007-06-15 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.