Active NPI
LT Dental Group, PLLC
Doing business as Dream Smile Dental
- General Practice Dentistry
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LT DENTAL GROUP, PLLC
- Doing business as
- Dream Smile Dental
- Practice address
- 4326 E State Road 64
Bradenton, FL 34208-9000 - Phone
- (941) 525-2795
- NPI assigned
- Sep 26, 2024
- Last updated
- Sep 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leo Tran
- Title
- Owner
- Phone
- (941) 525-2795
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
4326 E State Road 64
Bradenton, FL 34208-9000
Mailing address
8437 Dove Bog Ter
Parrish, FL 34219-5539
Other names 1
- Dream Smile Dental
National Provider Directory
National Provider DirectoryLocations
4326 E State Road 64
Bradenton, FL 34208
Phone (941) 525-2795
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Mulberry, FL
- NPI 1407588163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1205654514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8437 DOVE BOG TER",
"city": "PARRISH",
"state": "FL",
"postal_code": "342195539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4326 E STATE ROAD 64",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342089000",
"telephone_number": "941-525-2795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LT DENTAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "LEO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-525-2795"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dream Smile Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.