TABARES DENTAL PA NPI 1144772583

NPI Information

  • NPI: 1144772583
  • Provider Name: TABARES DENTAL PA
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 18964 N DALE MABRY HWY
    SUITE # 101
    LUTZ, FL
    ZIP 33548
  • Phone: (615) 477-4047

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NPI Details

TABARES DENTAL PA is a pediatric dentistry dentist in Lutz, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. TABARES DENTAL PA NPI is 1144772583. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18964 N DALE MABRY HWY
SUITE # 101
LUTZ, FL
ZIP 33548-913
Phone: (615) 477-4047

The provider's authorized official is Yadnay Tabares .
The authorized official title is President and has the following contact phone number (615) 477-4047.

The enumeration date for this NPI number is 11/2/2016 and was last updated on 11/2/2016.

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
11223P0221XDentistPediatric DentistryDN20019FLORIDAYes

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: 11/21/2025

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