Healthcare Provider Details

I. General information

NPI: 1518290683
Provider Name (Legal Business Name): KAMERAN SOLEYMANI D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 LANDMARK DR # F101
CLEARWATER FL
33761-3934
US

IV. Provider business mailing address

133 FOREST LINE RD
EASTON PA
18045-5999
US

V. Phone/Fax

Practice location:
  • Phone: 727-725-3042
  • Fax:
Mailing address:
  • Phone: 610-295-7333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS037349
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN18129
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: