OrganizationActive
Park Street Dental
NPI 1154776730 · Dentist · St Petersburg, FL
Park Street Dental is a Dentist organization in St Petersburg, FL (NPI 1154776730).
Provider details
- NPI number
- 1154776730
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jose Garcia, Owner(727) 548-7733
- License
- DN11980 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4911 Park St N
Suite a
St Petersburg, FL 33709-2227
Phone: (727) 548-7733
Fax: (727) 548-0015
Street-level locationGet directions
Mailing address
4911 Park St N
St Petersburg, FL 33709-2227
Registry dates
- Enumerated
- 2016-05-02
- Last updated
- 2016-05-02
Frequently asked questions
- What is Park Street Dental's NPI number?
- Park Street Dental's National Provider Identifier (NPI) is 1154776730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Street Dental?
- Park Street Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Park Street Dental located?
- Park Street Dental's practice location on file with NPPES is 4911 Park St N, St Petersburg, FL 33709-2227.
- What is Park Street Dental's phone number?
- The practice phone number listed in the NPPES registry for Park Street Dental is (727) 548-7733.
- Who is the authorized official for Park Street Dental?
- The authorized official listed on Park Street Dental's NPPES record is Jose Garcia, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Street Dental's NPI active?
- Yes — Park Street Dental's NPI (1154776730) is active in the NPPES registry as of the last update on 2016-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.