NPIMap

Organization Active NPI

Advanced Dental Designs, LLC

  • Dental Clinic/Center
  • Lutz, FL
National Provider Identifier
1508486200
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ADVANCED DENTAL DESIGNS, LLC
Practice address
17735 Hunting Bow Circle
Apartment, Suite, Unit, Building, Floor
Lutz, FL 33558
Phone
(813) 995-6178
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Sheetal Suryawanshi, DMDNPI 1750524864
Title
Dentist
Phone
(813) 995-6178

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17735 Hunting Bow Circle
Apartment, Suite, Unit, Building, Floor
Lutz, FL 33558

Mailing address

17735 Hunting Bow Circle
Apartment, Suite, Unit, Building, Floor
Lutz, FL 33558
Phone (813) 995-6178

Other names 1

  • Bliss Dental Lounge Doing business as

National Provider Directory

National Provider Directory

Locations

17735 Hunting Bow Cir
Lutz, FL 33558
Phone (813) 995-6178

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": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1508486200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17735 HUNTING BOW CIRCLE",
            "address_2": "APARTMENT, SUITE, UNIT, BUILDING, FLOOR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33558",
            "telephone_number": "813-995-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17735 HUNTING BOW CIRCLE",
            "address_2": "APARTMENT, SUITE, UNIT, BUILDING, FLOOR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33558",
            "telephone_number": "813-995-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL DESIGNS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "SURYAWANSHI",
        "authorized_official_first_name": "SHEETAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-995-6178",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bliss Dental Lounge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.