Precision Dental Group LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PRECISION DENTAL GROUP LLC

Practice address

4129 W Kennedy Blvd
Ste 1
Tampa, FL 33609-2254

Phone

(813) 288-9700

NPI assigned

Aug 29, 2016

Organization subpart

No

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

Authorized official

Name

Luis Alicea

Title

Owner

Phone

(813) 288-9700

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Luis F Alicea, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • Orlando, FL
  • NPI 1144320474
  NPD
• Luis A Alicea, DMD

  • Prosthodontics
  • Tampa, FL
  • NPI 1407947849
  NPD (past)

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1326594516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 W KENNEDY BLVD",
            "address_2": "STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092254",
            "telephone_number": "813-288-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 W KENNEDY BLVD",
            "address_2": "STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092254",
            "telephone_number": "813-288-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "ALICEA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-288-9700"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 30, 2016; 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.