Lutz Dentist Office, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LUTZ DENTIST OFFICE, PA

Doing business as

Luts Dentist Office

Practice address

17661 Harper's Run
Lutz, FL 33558

Phone

(813) 337-7478

Fax

(813) 367-9887

NPI assigned

Aug 2, 2023

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Minh Pham, DDS

Title

Owner

Phone

(813) 337-7478

Specialties & licenses 1

Addresses

Other names 1

• LUTS DENTIST OFFICE Doing business as

Locations

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1467134213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17661 HARPER'S RUN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33558",
            "telephone_number": "813-337-7478",
            "fax_number": "813-367-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTZ DENTIST OFFICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-337-7478",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUTS DENTIST OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Michael Lukacek, R.PH.
• Lumina Dental of Lutz, PA (Lumina Dental of Lutz)
• Paul A Lunseth, M.D.
• Larry Joseph Luter
• Lutz Counseling Services LLC
• Lutz Endodontics PLLC
• Lutz Pharmacy LLC (Lutz Pharmacy)
• Lutz Rehab and Health Center LLC
• Luxottica of America Inc. (Target Optical #4436)
• Ma Santoshi LLC (Greencare Pharmacy)

• Dentist in Lutz, FL
• Providers in Lutz, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.