Renato J. Aves, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RENATO J. AVES, LLC

Doing business as

Tampa Bay Institute of Oral Surgery & Dental Implants

Practice address

1301 Grasslands Blvd Ste 200
Lakeland, FL 33803-5488

Phone

(813) 885-6555

NPI assigned

Mar 8, 2023

Last updated

Mar 9, 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

Julie Marie Wangelin

Title

Coo

Phone

(813) 885-6555

Specialties & licenses 1

Addresses

Other names 1

• Tampa Bay Institute of Oral Surgery & Dental Implants Doing business as

Tax ID family

Renato J Aves LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Renato J. Aves, LLC

  dba Tampa Bay Institute of Oral Surgery & Dental Implants

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1184324071
  NPD tax ID
• Renato J. Aves, LLC

  dba Tampa Bay Institute of Oral Surgery and Dental Implants

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1316308547
  NPD tax ID
• Renato J. Aves, LLC

  dba Central Florida Institute of Oral Surgery & Dental Implants

  • Oral and Maxillofacial Surgery (Dentist)
  • Winter Park, FL
  • NPI 1609576594
  NPD tax ID
• Renato J. Aves, LLC

  dba Tampa Bay Institute of Oral Surgery & Dental Implants

  • Oral and Maxillofacial Surgery (Dentist)
  • Land O' Lakes, FL
  • NPI 1881394740
  NPD tax ID
• Renato J. Aves, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1962753608
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean D. Walcott, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakeland, FL
  • NPI 1841250743
  NPD
• Renato J Aves Jr., DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1336322650
  NPD (past)

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1558061440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 GRASSLANDS BLVD STE 200",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035488",
            "telephone_number": "813-885-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 GRASSLANDS BLVD STE 200",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035488",
            "telephone_number": "813-885-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATO J. AVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "WANGELIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-885-6555"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Bay Institute of Oral Surgery & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reliance Healthcare Network
• Reliance Medical Centers
• Reliance Medical Centers
• David John Remmer, MD
• Karem Remond, M.D.
• Kayla Renaud
• Carolyn M Reneau, CNM
• Robert Joseph Renna, R.PH.
• Brian E Renz, MD
• John Repetosky

• Oral and Maxillofacial Surgery (Dentist) in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.