Healthcare Provider Details

I. General information

NPI: 1750404133
Provider Name (Legal Business Name): DOLPHIN DENTAL GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10820 SEMINOLE BLVD
LARGO FL
33778-3336
US

IV. Provider business mailing address

10820 SEMINOLE BLVD
LARGO FL
33778-3336
US

V. Phone/Fax

Practice location:
  • Phone: 727-393-9334
  • Fax: 727-391-0134
Mailing address:
  • Phone: 727-393-9334
  • Fax: 727-391-0134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN16051
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. MAHER RASHID
Title or Position: DENTIST
Credential: DMD
Phone: 727-393-9334