=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659218543
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BELOF DENTAL PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2026
-----------------------------------------------------
Last Update Date | 04/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5141 MOCCASIN WALLOW ROAD
-----------------------------------------------------
City | PALMETTO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34221
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-292-1002
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6516 MAYPORT DR
-----------------------------------------------------
City | APOLLO BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33572-1556
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-892-4272
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER/OWNER
-----------------------------------------------------
Name | JOSHUA D BELOF
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 813-892-4272
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------