OrganizationActive
Park Boulevard Family Dentistry
NPI 1578170684 · Dentist · Pinellas Park, FL
Park Boulevard Family Dentistry is a Dentist organization in Pinellas Park, FL (NPI 1578170684).
Provider details
- NPI number
- 1578170684
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brianne Wade, Owner/President/Dentist(813) 244-6045
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
4326 Park Blvd N Ste a
Pinellas Park, FL 33781-3538
Phone: (727) 291-0220
Street-level locationGet directions
Mailing address
4326 Park Blvd N Ste a
Pinellas Park, FL 33781-3538
Registry dates
- Enumerated
- 2020-09-24
- Last updated
- 2020-09-24
- Certified
- 2020-09-23
Frequently asked questions
- What is Park Boulevard Family Dentistry's NPI number?
- Park Boulevard Family Dentistry's National Provider Identifier (NPI) is 1578170684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Boulevard Family Dentistry?
- Park Boulevard Family Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Park Boulevard Family Dentistry located?
- Park Boulevard Family Dentistry's practice location on file with NPPES is 4326 Park Blvd N Ste a, Pinellas Park, FL 33781-3538.
- What is Park Boulevard Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Park Boulevard Family Dentistry is (727) 291-0220.
- Who is the authorized official for Park Boulevard Family Dentistry?
- The authorized official listed on Park Boulevard Family Dentistry's NPPES record is Brianne Wade, Owner/President/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Boulevard Family Dentistry's NPI active?
- Yes — Park Boulevard Family Dentistry's NPI (1578170684) is active in the NPPES registry as of the last update on 2020-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.