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GRAND DENTAL LLC NPI 1831561125


NPI Information

NPI: 1831561125
Provider Name: GRAND DENTAL, LLC

Doing Business As: CARROLLWOOD SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3401 W FLETCHER AVE
SUITE A
TAMPA, FL
ZIP 33618
Phone: (813) 269-4000
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GRAND DENTAL, LLC 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. GRAND DENTAL, LLC NPI is 1831561125. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Carrollwood Smiles.

The provider's business location address is:

3401 W FLETCHER AVE
SUITE A
TAMPA, FL
ZIP 33618-813
Phone: (813) 269-4000
Fax: (813) 269-4001

The provider's authorized official is Sylvia Jessene Miller .
The authorized official title is Insurance Coordinator and has the following contact phone number (321) 431-2208.

The enumeration date for this NPI number is 10/26/2015 and was last updated on 11/5/2015.


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 PracticeFLORIDAYes

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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