Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bay Area Modern Dentistry LLC

Organization Dentist · NPI 1134702111

Bay Area Modern Dentistry LLC provides Dentist services in Pinellas Park, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5299 Park Blvd N
Pinellas Park, FL 33781-3418
Phone: (727) 547-8227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1134702111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivo Bushati — Dentist · (727) 547-8227
NPI enumeratedApril 28, 2021
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address506 20th Ave Ne, St Petersburg, FL 33704-4622

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