DANIEL MAXWELL DERUSSY (NPI# 1427172071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427172071 |
| Entity Type | Individual |
| Full Name | DANIEL MAXWELL DERUSSY |
| Credential | DDS |
| Practice Address |
6700 Crosswinds Drive North Ste 400c St Petersburg FL 33710 |
| Mailing Address |
6700 Crosswinds Dr No Ste 400c St Petersburg FL 33710 |
| Practice Telephone | 7273458595 |
| Practice Fax Number | 7273450496 |
| Mailing Telephone | 7273458595 |
| Mailing Fax Number | 7273450496 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
FLORIDA 04555 | FL | Dental Providers |
| Street Address |
6700 CROSSWINDS DRIVE NORTH STE 400C |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| 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 |
| 1376702332 | Alpha Dental Services, Inc. | Dentist | 243 32nd St N, St Petersburg, FL 33713-8537 | 2008-06-05 |
| 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 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
Please comment or provide details below to improve the information on DANIEL MAXWELL DERUSSY.
| 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.