DR. KENNETH GRUNDSET (NPI# 1477679470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477679470 |
| Entity Type | Individual |
| Full Name | DR. KENNETH GRUNDSET |
| Credential | D.D.S. |
| Practice Address |
9634 107th Ave N Largo FL 33773-4503 |
| Mailing Address |
9899 66th St N Pinellas Park FL 33782-3010 |
| Practice Telephone | 8138168006 |
| Practice Fax Number | 7272584804 |
| Mailing Telephone | 7278138168 |
| Mailing Fax Number | 7272584804 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4596 | FL | Dental Providers |
| Street Address |
9634 107TH AVE N |
| City | LARGO |
| State | FL |
| Zip Code | 33773-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699185298 | Kenneth Grundset Pa | Clinic/Center | 9634 107th Ave N, Largo, FL 33773-4503 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144719 | Rosabelle Magloire Chism | Nurse Practitioner | 11542 92nd Street North, Largo, FL 33773 | 2020-08-10 |
| 1265040976 | Gulf Coast Mental Health Services LLC | Clinic/Center | 10641 Whittngton Court, Largo, FL 33773 | 2020-07-20 |
| 1770930190 | Albert H Thurlow IIi | Nurse Practitioner | 10471 Whittington Ct, Largo, FL 33773 | 2016-05-16 |
| 1700264660 | Logan Kienholz | Behavioral Analyst | 12505 Sarky Rd, Suite G, Largo, FL 33773 | 2015-05-12 |
| 1093121998 | Dorit Morecraft | Nurse Practitioner | 10641 Whittington Court, Largo, FL 33773 | 2014-07-11 |
| 1891135281 | Shameka Jones | Pharmacist | 12091 Starkey Rd, Largo, FL 33773 | 2013-06-28 |
| 1427496942 | Kim Hoang T Vo | Podiatrist | 12685 Starkey Road, Largo, FL 33773 | 2013-06-06 |
| 1104165729 | Aaron Rigali | Pharmacist | 11701 S Belcher Rd Ste 126, Largo, FL 33773 | 2013-02-01 |
| 1518249648 | Jolynn Renee Dyer | Occupational Therapist | 8254 118th Ave Unit 100, Unit 100, Largo, FL 33773 | 2011-09-14 |
| 1366720161 | Sally Donna Plink | Massage Therapist | 10671 104th Ave N, Seminole, FL 33773 | 2011-07-27 |
| Find all providers in zip 33773 | ||||
| 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 |
|---|---|---|---|---|
| 1730646704 | Robert Ferguson | Dentist | 11701 Belcher Rd S Ste 103, Largo, FL 33773-5116 | 2019-02-26 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1821518275 | Daniel Stratton Hultgren | Dentist | 13200 Seminole Blvd Ste 205, Largo, FL 33778-2132 | 2017-06-26 |
| 1649638081 | Humam Shalabi | Dentist | 13200 Seminole Blvd Ste 204, Largo, FL 33778-2132 | 2016-01-31 |
| 1366824419 | Christine Van Groesbeck | Dentist | 10427 Ulmerton Rd Ste B-3, Largo, FL 33771-3530 | 2015-06-25 |
| 1588822613 | The Dental Walk In Clinic of Pinellas | Dentist | 1030 Belcher Rd S, Largo, FL 33771-3316 | 2008-05-27 |
| 1114197027 | Harkins Dental Associates | Dentist | 800 Starkey Rd, Largo, FL 33771 | 2008-03-06 |
| 1437352366 | Neal M. Solar | Dentist | 168 Clearwater Largo Rd S, Largo, FL 33770-3233 | 2007-06-07 |
| 1356543359 | Thomas Lane Showalter Jr. | Dentist | 1678 W Bay Dr, Largo, FL 33770-3002 | 2007-06-01 |
| 1275742538 | Brian J. Delisle, Dds, Pa | Dentist | 11414 Seminole Blvd Ste 2, Largo, FL 33778-3200 | 2007-05-22 |
| Find all providers in LARGO | ||||
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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.