Smilelynn Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN21339 Issued in FL

Legal business name

SMILELYNN PEDIATRIC DENTISTRY

Practice address

122 Harbor Village LN
Apollo Beach, FL 33572-3402

Phone

(813) 298-3719

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Casey Lynn, DMDNPI 1770952426

Title

Owner

Phone

(812) 298-3719

Specialties & licenses 1

Addresses

Other names 1

• Lynn Pediatric Dentistry Former legal business name

Locations

Practitioners 1

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

• Casey Lynn, DMD

  • Pediatric Dentistry
  • Tampa, FL
  • NPI 1770952426
  NPD (past) Authorized official

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1568953867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 COMMONWEALTH AVE",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944784",
            "telephone_number": "813-298-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HARBOR VILLAGE LN",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723402",
            "telephone_number": "813-298-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILELYNN PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-298-3719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynn Pediatric Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lauren Shirley, PA-C
• Kyle Aaron Shtern, DDS
• Nataliya K Sia, RN, ARNP
• Makaylin Irene Sizemore
• Heather F Slusher, APRN
• Sheena Brooke Smith, LCSW
• Stella Smith
• Sollavez Transportation, LLC
• Elena A. Spanos, LCSW
• Specialized Pediatric Therapy Inc

• Pediatric Dentistry in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.