Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912344904 Individual Practitioner Male Practitioner

Dr. Daniel Belotserkovsky , DDS

Dentist - General Practice • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Belotserkovsky, DDS is a registered healthcare professional specializing in Dentist - General Practice in St Augustine, FL. Practice services are available at 10 SAINT JOHNS MEDICAL PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10 Saint Johns Medical Park Dr

St Augustine, FL 320865201

Telephone 9047702686

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
44 Specialists

Practicing in St Augustine, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN21757

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2018

Registered at 10 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 320865201 (Tel: 9047702686)

📍
Updated Business Mailing Address February 06, 2018

Registered at 10 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 320865201 (Tel: 9047702686)

👤
Provider Name / Credentials Updated February 06, 2018

Recorded as DANIEL BELOTSERKOVSKY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2018

Dentist (License #DN21757 in FL)

NPI Profile Active August 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2016

Registered at 8142 W BROWARD BLVD, PLANTATION, FL 333242000 (Tel: 2013889020)

📍
Updated Business Mailing Address August 15, 2016

Registered at 8142 W BROWARD BLVD, PLANTATION, FL 333242000 (Tel: 9544751212)

👤
Provider Name / Credentials Updated August 15, 2016

Recorded as DANIEL BELOTSERKOVSKY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2016

Dentist (License #DN21757 in FL)

🟢
Initial NPI Registration & Enumeration May 30, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Daniel Belotserkovsky. Be the first to share your experience!

Sign in to leave a review for Dr. Daniel Belotserkovsky

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1912344904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2013
Last Update: February 06, 2018
Sole Proprietor: No

Mailing Address

10 Saint Johns Medical Park Dr

St Augustine, FL 320865201

Phone: 9047702686

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.