Lillybash Dental Studio PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LILLYBASH DENTAL STUDIO PLLC

Practice address

11280 Boyette Rd
Suit #101
Riverview, FL 33569

Phone

(813) 567-3333

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Danoosh Shiravand Amrooei, DMDNPI 1689838666

Title

Owner/ Doctor

Phone

(813) 203-5291

Specialties & licenses 1

Addresses

Other names 1

• Monaco Dentistry of Riverview Doing business as

Locations

Practitioners 1

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

• Danoosh Shiravand Amrooei, D.M.D

  • Dentist
  • Riverview, FL
  • NPI 1689838666
  NPD Authorized official

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1366035677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 W SYLVAN RAMBLE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094316",
            "telephone_number": "813-203-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11280 BOYETTE RD",
            "address_2": "SUIT #101",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33569",
            "telephone_number": "813-567-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLYBASH DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "AMROOEI",
        "authorized_official_first_name": "DANOOSH",
        "authorized_official_middle_name": "SHIRAVAND",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "813-203-5291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monaco Dentistry of Riverview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Riverview, FL
• Providers in Riverview, 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 Feb 17, 2021; 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.