Healthcare Provider Details

I. General information

NPI: 1750487013
Provider Name (Legal Business Name): MICHAEL A. PIKOS D.D.S., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4372 COMMERCIAL WAY
SPRING HILL FL
34606-1965
US

IV. Provider business mailing address

2711 TAMPA RD
PALM HARBOR FL
34684-3312
US

V. Phone/Fax

Practice location:
  • Phone: 352-596-6804
  • Fax: 352-596-3615
Mailing address:
  • Phone: 727-786-1631
  • Fax: 727-785-8477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL A. PIKOS
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 727-786-1631