# PRECIDENT FLORIDA PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRECIDENT FLORIDA PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154045599
- **Legal business name:** PRECIDENT FLORIDA PLLC
- **Authorized official:** DR. SCOTTY L BOLDING DDS (OWNER)
- **Authorized official phone:** (479) 957-4611

## Contact information

- **Practice address:** 10601 SEMINOLE BLVD, LARGO, FL 33778-3329
- **Practice address phone:** (727) 397-8503
- **Practice address fax:** (727) 398-2679
- **Mailing address:** 10601 SEMINOLE BLVD, LARGO, FL 33778-3329
- **Mailing address phone:** (727) 397-8503
- **Mailing address fax:** (727) 398-2679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2022
- **Last updated:** 10/11/2022