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CENTER FOR ORAL HEALTH NPI 1376933622


NPI Information

NPI: 1376933622
Provider Name: CENTER FOR ORAL HEALTH

Doing Business As: CENTER FOR ORAL HEALTH

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 05D2121648

Address:
9309 N FLORIDA AVE STE 111
TAMPA, FL
ZIP 33612
Phone: (813) 473-8200
Get Directions

CENTER FOR ORAL HEALTH is a general practice dentist in Tampa, FL. The provider is 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. CENTER FOR ORAL HEALTH NPI is 1376933622. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Center For Oral Health.

The provider's business location address is:

9309 N FLORIDA AVE STE 111
TAMPA, FL
ZIP 33612-237
Phone: (813) 473-8200
Fax: (813) 315-7104

The provider's authorized official is Conrado Barzaga .
The authorized official title is Executive Director and has the following contact phone number (909) 469-8300.

The CLIA number assigned to this NPI record is 05D2121648 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 6/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistCALIFORNIANo
2122300000XDentistNo
31223P0221XDentistPediatric DentistryNo
41223S0112XDentistOral and Maxillofacial SurgeryNo
51223G0001XDentistGeneral PracticeFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1021277800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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