Organization Active NPI

Lfid Holdings PLLC

Doing business as Bespoke Dental

  • Oral and Maxillofacial Surgery (Dentist)
  • Lutz, FL
National Provider Identifier
1295524411
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
LFID HOLDINGS PLLC
Doing business as
Bespoke Dental
Practice address
18713 N Dale Mabry Hwy Ste B
Lutz, FL 33548-4979
Phone
(813) 807-4902
Fax
(813) 807-4902
NPI assigned
May 5, 2025
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Dr. Tarik Elmohd, DMDNPI 1538556329
Title
Oral & Maxillofacial Surgeon/Owner
Phone
(813) 528-1787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

18713 N Dale Mabry Hwy Ste B
Lutz, FL 33548-4979

Mailing address

18713 N Dale Mabry Hwy Ste B
Lutz, FL 33548-4979
Phone (813) 807-4902

Other names 1

  • Bespoke Dental Doing business as

National Provider Directory

National Provider Directory

Locations

18713 N Dale Mabry Hwy
Ste B
Lutz, FL 33548
Phone (813) 807-4902

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.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1295524411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18713 N DALE MABRY HWY STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484979",
            "telephone_number": "813-807-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18713 N DALE MABRY HWY STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484979",
            "telephone_number": "813-807-4902",
            "fax_number": "813-807-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LFID HOLDINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "ELMOHD",
        "authorized_official_first_name": "TARIK",
        "authorized_official_title_or_position": "ORAL & MAXILLOFACIAL SURGEON/OWNER",
        "authorized_official_telephone_number": "813-528-1787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bespoke Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.