Luce Tooth Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LUCE TOOTH PEDIATRIC DENTISTRY

Practice address

8500 113TH St Ste B
Seminole, FL 33772-4126

Phone

(727) 390-0037

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Amy Renee Luce, DMDNPI 1770888059

Title

Owner/Dentist

Phone

(727) 656-7145

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Amy Renee Luce, DMD

  • Pediatric Dentistry
  • St Petersburg, FL
  • NPI 1770888059
  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1548989569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 SHORT LEAF LN NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337033147",
            "telephone_number": "804-519-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 113TH ST STE B",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724126",
            "telephone_number": "727-390-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCE TOOTH PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "LUCE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "727-656-7145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF DENTISTRY",
            "identifier": "DN18737",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF DENTISTRY",
            "identifier": "DN21100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Preston Longley, PA
• Ana Lopez Pena
• Los Robles Radiologic Associates
• Ajla Lozic, MA
• Mai Jong Lu, D.M.D.
• Lunden Psychological Services, Inc.
• Judy Carol Lunden, PSY.D.
• Sherry Lynn, ARNP
• Casey Macarthur
• Elaine Rosemary Maccollom, PT

• Pediatric Dentistry in Seminole, FL
• Providers in Seminole, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.