Valley Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VALLEY DENTAL LLC

Practice address

10722 Ketchum Valley Dr
Riverview, FL 33579-7185

Phone

(813) 671-0675

NPI assigned

Aug 26, 2025

Organization subpart

No

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

Authorized official

Name

Mohiuddin Ifaz, DMDNPI 1609429018

Title

Owner

Phone

(954) 903-8587

Specialties & licenses 1

Addresses

Other names 1

• Valley Dental Doing business as

Practitioners 2

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

• Mohiuddin Ifaz

  • Dentist
  • Spring Hill, FL
  • NPI 1609429018
  NPD Authorized official
• Thuvan Thi Vo, DMD

  • Dentist
  • Riverview, FL
  • NPI 1821076944
  NPD (past)

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1487532586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21662 SNOWY ORCHID TER",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346374709",
            "telephone_number": "954-903-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10722 KETCHUM VALLEY DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797185",
            "telephone_number": "813-671-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "IFAZ",
        "authorized_official_first_name": "MOHIUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-903-8587",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Douglas Valdespino, PH.D.
• Carmen Valdez, APRN
• Valencia Emergency Physicians LLC
• Robert Valentin, PTA
• Vanessa Vallejo
• Vallo Riverview, PLLC
• Luiz Valverde
• Lisa Vargas
• Cassandra Maria Vazquez, APRN
• Cristina Vazquez

• 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 Aug 26, 2025; 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.