M & B Dental Designs, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

M & B DENTAL DESIGNS, LLC

Practice address

104 E Fletcher Ave Ste D
Tampa, FL 33612-3429

Phone

(813) 661-1800

NPI assigned

Nov 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ann Marie Carlow, DENTIST

Title

President

Phone

(813) 422-2599

Specialties & licenses 1

Addresses

Other names 1

• M & B DENTAL DESINGS,LLC Other name

Locations

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1124620885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E FLETCHER AVE STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123429",
            "telephone_number": "813-661-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E FLETCHER AVE STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123429",
            "telephone_number": "813-661-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & B DENTAL DESIGNS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "CARLOW",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-422-2599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M & B DENTAL DESINGS,LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "M & B DENTAL DESINGS,LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yelizaveta Lysakova, MD
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• Elise Lyver, PHARMD
• Selena Lyvers-Rouse
• M & B Sebastian LLC
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• M & M Medical Clinic
• M & M Medical Clinic, LLC

• Dental Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.