Clearwater Dentistry

Dentist, General Practice in Clearwater, FL. Organization (NPI-2).

NPI number1669917902

StatusActive

Last updated in NPPESDec 22, 2016

Details

NPI: 1669917902
Entity type: Organization (NPI-2)
Legal business name: Clearwater Dentistry
Organization subpart: No
Enumeration date: Dec 22, 2016
Last updated: Dec 22, 2016

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	–	–	Yes

Practice location

3006 Gulf To Bay Blvd
Clearwater, FL 33759-4313

Phone 727-233-3030

Mailing address

3006 Gulf To Bay Blvd
Clearwater, FL 33759-4313

Phone 727-233-3030

Authorized official

Joshua A Wyatt
Owner
4107106005

Is something wrong?

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Other General Practice Dentistry providers in Clearwater, FL

All 110 General Practice Dentistry providers in Clearwater · All 6,156 providers in Clearwater

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