Tampa Dental Partners LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TAMPA DENTAL PARTNERS LLC

Doing business as

Advanced Dental Associates

Practice address

15303 Amberly Dr Ste D
Tampa, FL 33647-2308

Phone

(813) 972-9077

NPI assigned

Mar 24, 2022

Last updated

May 11, 2022By 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

Justin Elikofer, DDSNPI 1669929600

Title

Dentist/Owner

Phone

(812) 568-1195

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dental Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Justin Elikofer, DDS

  • Dentist
  • Tampa, FL
  • NPI 1669929600
  Authorized official Same address or phone

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1255081378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 AMBERLY DR STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 AMBERLY DR STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472308",
            "telephone_number": "813-972-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "ELIKOFER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "812-568-1195",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tampa Endodontics

• 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 May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.