FAMILY AND COSMETIC DENTISTRY OF TEMPLE TERRACE NPI 1023540721

NPI Information

NPI: 1023540721
Provider Name: FAMILY AND COSMETIC DENTISTRY OF TEMPLE TERRACE
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
224 BULLARD PKWY
TEMPLE TERRACE, FL
ZIP 33617
Phone: (813) 988-2729
Get Directions

FAMILY AND COSMETIC DENTISTRY OF TEMPLE TERRACE is a customized equipment durable medical equipment medical supplies in Temple Terrace, FL. FAMILY AND COSMETIC DENTISTRY OF TEMPLE TERRACE NPI is 1023540721. The provider is registered as an organization entity type.

The provider's business location address is:

224 BULLARD PKWY
TEMPLE TERRACE, FL
ZIP 33617-512
Phone: (813) 988-2729
Fax: (813) 988-8729

The provider's authorized official is Viviana Cabrera .
The authorized official title is Office Manager and has the following contact phone number (813) 988-2729.

The enumeration date for this NPI number is 3/31/2017 and was last updated on 3/31/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	DN-0014538	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	071698700	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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