Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Park Boulevard Family Dentistry

Organization Dentist · NPI 1578170684

Park Boulevard Family Dentistry provides Dentist services in Pinellas Park, Florida. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

4326 Park Blvd N Ste A
Pinellas Park, FL 33781-3538
Phone: (727) 291-0220
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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 number1578170684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianne Wade — Owner/President/Dentist · (813) 244-6045
NPI enumeratedSeptember 24, 2020
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 23, 2020
Mailing address4326 Park Blvd N Ste A, Pinellas Park, FL 33781-3538

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