# PRECIDENT FLORIDA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609464205
- **Authorized official:** DR. SCOTT L BOLDING DDS MS (OWNER)
- **Authorized official phone:** (479) 957-4611

## Contact information

- **Practice address:** 390 4TH ST N, SAINT PETERSBURG, FL 33701-2802
- **Practice address phone:** (727) 397-8503
- **Practice address fax:** (727) 398-2679
- **Mailing address:** PO BOX 2523, DEPT 4316, CONWAY, AR 72033-2523
- **Mailing address phone:** (727) 397-8503
- **Mailing address fax:** (727) 397-2679

## 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 |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | — |

## Other

- **Enumeration date:** 01/08/2021
- **Last updated:** 06/07/2022