Organization
BRIAN M. BIVENS, DMD, MS, PA
Active
Other names
Bay Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M. BIVENS DMD (PRESIDENT)
(813) 443-5050
Entity
Organization
Contact information
Practice address
12950 RACE TRACK RD, SUITE 107, TAMPA, FL 33626-1309
(813) 443-5050
(813) 749-7526
Mailing address
12950 RACE TRACK RD, SUITE 107, TAMPA, FL 33626-1309
(813) 443-5050
(813) 749-7526
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
DN6295
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16668
FL
124Q00000X
Dental Hygienist
DH15021
FL
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us