DR. IVO BUSHATI (NPI# 1952713547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952713547 |
| Entity Type | Individual |
| Full Name | DR. IVO BUSHATI |
| Credential | DMD |
| Practice Address |
10472 Roosevelt Blvd N St Petersburg FL 33716-3820 |
| Mailing Address |
926 Great Pond Dr Ste 2002 Altamonte Springs FL 32714-7244 |
| Practice Telephone | 7273996938 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN 20607 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012230100 | 05 |
| Street Address |
10472 ROOSEVELT BLVD N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33716-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809845 | Annie Zhang | Dentist | 10472 Roosevelt Blvd N, St Petersburg, FL 33716-3820 | 2019-06-07 |
| 1801249412 | Brianne L. Wade | Dentist | 10472 Roosevelt Blvd N, St Petersburg, FL 33716-3820 | 2016-07-19 |
| 1962862003 | Ashley Danielle Bradley | Dentist | 10472 Roosevelt Blvd N, St Petersburg, FL 33716-3820 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093374233 | James W Felch | Dentist | 1904 4th St N, St Petersburg, FL 33704-4308 | 2019-06-11 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1205286028 | Fred Benzenhafer | Dentist | 4045 Tyrone Blvd N, St Petersburg, FL 33709-4118 | 2016-06-14 |
| 1154776730 | Park Street Dental | Dentist | 4911 Park St N, Suite A, St Petersburg, FL 33709-2227 | 2016-05-02 |
| 1841602356 | Lauren Caroline Krauser | Dentist | 1015 58th St N, St Petersburg, FL 33710-6326 | 2014-06-02 |
| 1487065058 | Tyrone Square Mall Dental P.a | Dentist | 6747 Tyrone Sq, St Petersburg, FL 33710-3934 | 2014-05-16 |
| 1265858807 | Anna Shoopak | Dentist | 3100 4th St N Unit 2, St Petersburg, FL 33704-2154 | 2014-03-06 |
| 1215378468 | Yukti Gulati | Dentist | 4300 4th St N Ste A, St Petersburg, FL 33703-4700 | 2013-07-16 |
| 1265873715 | Wade William Hancock | Dentist | 5415 Park St N Ste A, St Petersburg, FL 33709-1028 | 2013-07-12 |
| 1649526799 | Amber Marie Gilton | Dentist | 8501 9th St N, St Petersburg, FL 33702-3505 | 2012-07-26 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33716 |
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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.