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

Daxon & Grundset PLLC

Organization Dental Clinic/Center · NPI 1639599962

Daxon & Grundset PLLC is a Dental Clinic/Center in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 2nd Ave NE Ste 1104
St Petersburg, FL 33701-3443
Phone: (727) 282-1970
Fax: (727) 608-1980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DN 04596 (FL)

Record details

NPI number1639599962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Grundest — Partner · (727) 282-1970
Other names Daxon & Grundset Dentistry
NPI enumeratedApril 25, 2014
Last updated in NPPESApril 25, 2014
Mailing address111 2nd Ave Ne Ste 1104, St Petersburg, FL 33701-3443

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