Tampa Bay Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17656 Issued in FL

Legal business name

TAMPA BAY DENTAL ASSOCIATES

Practice address

767 Cypress Village Blvd
Sun City Center, FL 33573

Phone

(813) 655-9944

Fax

(813) 655-9945

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Amandeep D Sandhu, D.M.D.NPI 1568546927

Title

President

Phone

(813) 655-9944

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amandeep Dhaliwal Sandhu, D.M.D.

  • General Practice Dentistry
  • Ruskin, FL
  • NPI 1568546927
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1306915152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 CYPRESS VILLAGE BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-655-9944",
            "fax_number": "813-655-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 CYPRESS VILLAGE BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-655-9944",
            "fax_number": "813-655-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-655-9944",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.