SKYLIGHT DENTAL CARE PLLC NPI 1083099600

NPI Information

NPI: 1083099600
Provider Name: SKYLIGHT DENTAL CARE PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
117 N. OAKWOOD AVENUE
BRANDON, FL
ZIP 33510
Phone: (813) 530-0991
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SKYLIGHT DENTAL CARE PLLC is a dental clinic center in Brandon, FL. SKYLIGHT DENTAL CARE PLLC NPI is 1083099600. The provider is registered as an organization entity type.

The provider's business location address is:

117 N. OAKWOOD AVENUE
BRANDON, FL
ZIP 33510
Phone: (813) 530-0991
Fax: (813) 530-0986

The provider's authorized official is Licette F Espinal .
The authorized official title is General Dentist and has the following contact phone number (813) 530-0991.

The enumeration date for this NPI number is 7/24/2015 and was last updated on 7/24/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DN19212	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	003256800	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: 11/14/2023

NPI Synchronization or Removal

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