Dr. Gus J Perdigon , DDS
Dentist - General Practice • Tampa, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gus Perdigon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gus Perdigon, DDS was a registered Dentist - General Practice practicing in Tampa, FL. Throughout an active medical career spanning 14 years, Dr. Perdigon provided care at the practice location at 1 DAVIS BLVD until profile deactivation on 2019-02-11.
Practice Location & Contact Primary Location
1 Davis Blvd
Ste 704
Tampa, FL 336063480
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Tampa, FL
Practicing in Tampa, FL (7473 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner
Advanced Registered Nurse Practitioner
Counselor - Addiction (Substance Use Disorder)
Doctor of Philosophy (Ph.D.), MCAP
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 11, 2019
NPI status registered as active in NPPES database
Registered at 1 DAVIS BLVD, STE 704, TAMPA, FL 336063480 (Tel: 8132511071)
Registered at 1 DAVIS BLVD, STE 704, TAMPA, FL 336063480 (Tel: 8132511071)
Recorded as GUS PERDIGON, D.D.S
Dentist (License #4003 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1 Davis Blvd, Ste 704
Tampa, FL 336063480
Phone: 8132511071
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