Provider Demographics
NPI:1497136253
Name:PIKOS, REBECCA HARRISON (DMD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:HARRISON
Last Name:PIKOS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:ANNE
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:11201 CORPORATE CIR N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-3701
Mailing Address - Country:US
Mailing Address - Phone:727-577-4911
Mailing Address - Fax:727-577-4912
Practice Address - Street 1:11201 CORPORATE CIR N STE 160
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-3701
Practice Address - Country:US
Practice Address - Phone:727-577-4911
Practice Address - Fax:727-577-4912
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL247421223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry