Organization Active NPI

Family Implant and Cosmetic Dentistry, PLLC

  • General Practice Dentistry
  • Brandon, FL
National Provider Identifier
1477407757
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILY IMPLANT AND COSMETIC DENTISTRY, PLLC
Practice address
787 W Lumsden Road
Brandon, FL 33511-6261
Phone
(813) 684-7888
Fax
(813) 684-4568
NPI assigned
Feb 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Adrienne Tyler
Title
Director of Operations
Phone
(813) 684-7888

Specialties & licenses 1

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

Addresses

Primary practice location

787 W Lumsden Road
Brandon, FL 33511-6261

Mailing address

787 W Lumsden Road
Brandon, FL 33511-6261
Phone (813) 684-7888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1477407757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 W LUMSDEN ROAD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116261",
            "telephone_number": "813-684-7888",
            "fax_number": "813-684-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 W LUMSDEN ROAD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116261",
            "telephone_number": "813-684-7888",
            "fax_number": "813-684-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY IMPLANT AND COSMETIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "813-684-7888"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.