Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clearwater Modern Dentistry, PA

Organization General Practice Dentistry · NPI 1760156889

Clearwater Modern Dentistry, PA is a General Practice Dentistry in Clearwater, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2544 N McMullen Booth Rd
Clearwater, FL 33761-4150
Phone: (727) 286-3588
Fax: (727) 287-4727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1760156889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Minh Pham — Owner · (727) 286-3588
Other names Clearwater Modern Dentistry; Northwood Modern Dentistry
NPI enumeratedAugust 3, 2021
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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