Dental Associates of Tampa

Primary specialty

DentistTaxonomy code 122300000X

License

DN17074 Issued in FL

Legal business name

DENTAL ASSOCIATES OF TAMPA

Practice address

1311 W Busch Blvd
Tampa, FL 33612-7709

Phone

(813) 898-2888

NPI assigned

Feb 29, 2012

Last updated

Feb 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal G Bledsoe

Title

Operations Assistant

Phone

(863) 510-5960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1235403817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127709",
            "telephone_number": "813-898-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127709",
            "telephone_number": "813-898-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF TAMPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPERATIONS ASSISTANT",
        "authorized_official_telephone_number": "863-510-5960"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne W Dent, CRNA
• Dental Arts West Bay P.a. (West Bay Dental)
• Dental Associates of Florida (New Tampa) PLLC
• Dental Associates of Florida (Tampa) PLLC
• Dental Associates of New Tampa
• Dental Experts of Florida
• Dental Health Services of Citrus Park (Dental Health Services)
• Dental Office of Tampa LLC
• Dentalmed Inc
• Dentalworks USA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.