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

Gd Fl Champagne PLLC

Organization General Practice Dentistry · NPI 1639994353

Gd Fl Champagne PLLC is a General Practice Dentistry in St Petersburg, Florida. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
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

6658 1st Ave S
St Petersburg, FL 33707-1320
Phone: (727) 384-6656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1330 S Belcher Rd, Clearwater, FL 33764-3713 — (727) 263-4197

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1639994353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Hendricks — Credentialing · (612) 859-0444
Other names Champagne Dental
NPI enumeratedNovember 18, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address6658 1st Ave S, St Petersburg, FL 33707-1320

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