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

Park Street Dental

Organization Dentist · NPI 1154776730

Park Street Dental provides Dentist services in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

4911 Park St N Ste A
St Petersburg, FL 33709-2227 Not confirmed with CMS for 10 years — call before visiting
Phone: (727) 548-7733
Fax: (727) 548-0015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN11980 (FL)

Record details

NPI number1154776730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Garcia — Owner · (727) 548-7733
NPI enumeratedMay 2, 2016
Last updated in NPPESMay 2, 2016
Mailing address4911 Park St N, Suite A, St Petersburg, FL 33709-2227

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