Healthcare Provider Details

I. General information

NPI: 1609362052
Provider Name (Legal Business Name): BINH HO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4805 49TH ST N
ST PETERSBURG FL
33709-3859
US

IV. Provider business mailing address

8789 MAPLEWOOD RD
SEMINOLE FL
33777-3549
US

V. Phone/Fax

Practice location:
  • Phone: 727-521-2258
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN23670
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: