Lithia Pinecrest Smiles PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LITHIA PINECREST SMILES PA

Practice address

716 S Oakwood Ave
Brandon, FL 33511-6124

Phone

(813) 285-4084

Fax

(813) 285-4951

NPI assigned

Aug 30, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Crouch

Title

VP

Phone

(321) 872-8820

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1023738044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S OAKWOOD AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116124",
            "telephone_number": "813-285-4084",
            "fax_number": "813-285-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S OAKWOOD AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116124",
            "telephone_number": "813-285-4084",
            "fax_number": "813-285-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITHIA PINECREST SMILES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "321-872-8820"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy S Ling, M.D.
• Christian Linn
• Lois Elizabeth Lint
• Lisa M Krawczun DC PA
• Lite Home Solutions LLC
• Lithia Psychiatry
• Stephen Litonjua
• Kiersten Elise Little, PT, DPT
• Melissa Faye Littrel, C.R.N.A.
• Hsiu Shan Liu

• Dentist in Brandon, FL
• Providers in Brandon, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.