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Provider Information for 1568771053

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. MICHAEL DIPIAZZA D.D.S

Gender: MALE

Individual NPI: 1568771053

Calendar   Last Updated:  2013-08-30
  Certification Date: 

Details

Name Value
NPI 1568771053
Enumeration Date 2010-09-30
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 2519 N. MULLEN BOOTH ROAD SUITE 201
CLEARWATER, FL 33761
United States

Phone: 727-725-3279 | Fax: 727-726-8905
View Map External Link
Primary Practice Address 2519 N. MULLEN BOOTH ROAD SUITE 201
CLEARWATER, FL 33761
United States

Phone: 727-725-3279 | Fax: 727-726-8905
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice FL DN 19431