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LAKE VIEW FAMILY DENTISTRY PA NPI 1487750378


NPI Information

NPI: 1487750378
Provider Name: LAKE VIEW FAMILY DENTISTRY PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
13728 OFFICE PARK COURT
BAYONET POINT, FL
ZIP 34667
Phone: (727) 863-9669
Get Directions

LAKE VIEW FAMILY DENTISTRY PA is a general practice dentist in Bayonet Point, 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. LAKE VIEW FAMILY DENTISTRY PA NPI is 1487750378. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

13728 OFFICE PARK COURT
BAYONET POINT, FL
ZIP 34667
Phone: (727) 863-9669
Fax: (727) 862-8907

The provider's authorized official is Stephen M Durett .
The authorized official title is President and has the following contact phone number (727) 863-9669.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral PracticeDN14685FLORIDANo
21223G0001XDentistGeneral PracticeDN14566FLORIDAYes

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
1539393OTHERFLORIDAUNITED HEALTH CARE
256988OTHERFLORIDABLUE CROSS BLUE SHIELD

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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