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

Blaine Ammon

Individual provider General Practice Dentistry · NPI 1558988493

Blaine Ammon is a General Practice Dentistry in St Petersburg, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

390 4th St N Ste 101
St Petersburg, FL 33701-2802
Phone: (727) 282-1980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 334 2nd Ave S Apt 608, St Petersburg, FL 33701-4750 — (901) 734-7274

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN28141 (FL)

Record details

NPI number1558988493
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 26, 2020
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address334 2nd Ave S Apt 608, St Petersburg, FL 33701-4750

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