Organization Active NPI

Lifetime Smiles Dental Care

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1336460690
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN14844 Issued in FL
Legal business name
LIFETIME SMILES DENTAL CARE
Practice address
2509 W Crest Ave
Suite 1
Tampa, FL 33614-6839
Phone
(813) 872-7909
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Dr. Christopher Miller Donato, DMDNPI 1952345431
Title
President
Phone
(813) 872-7909

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN14844 FL Primary

Addresses

Primary practice location

2509 W Crest Ave
Suite 1
Tampa, FL 33614-6839

Mailing address

2509 W Crest Ave
Suite 1
Tampa, FL 33614-6839
Phone (813) 872-7909

National Provider Directory

National Provider Directory

Locations

2509 W Crest Ave
Ste 1
Tampa, FL 33614
Phone (813) 872-7909

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1336460690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 W CREST AVE",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146839",
            "telephone_number": "813-872-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 W CREST AVE",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146839",
            "telephone_number": "813-872-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME SMILES DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-872-7909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.