Louis P Cerillo, DDS, PA
Individual provider Active NPI General Practice Dentistry · Tampa, FL
NPI 1619199023 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619199023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN11574 (FL)
- Practice address
- 15277 Amberly Dr
Somerset Professional Park
Tampa, FL 33647-2155 - Phone
- (813) 971-1688
- Fax
- (813) 971-4322
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN11574 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louis P Cerillo, DDS, PA | Past | Accepting new patients | |
| Florida Dental Professionals, P.a. | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN11574 | FL | Yes |
Addresses
Primary practice location
15277 Amberly Dr
Somerset Professional Park
Tampa, FL 33647-2155
Mailing address
15277 Amberly Dr
Somerset Professional Park
Tampa, FL 33647-2155
Phone (813) 971-1688
Other providers in Tampa, FL
- Amy Ceras
- Melissa Cercone
- Cerebrum Healthcare LLC
- Amanda Cerezal Gonzalez
- Gretchen Cerezal Vergara
- Alice Gail Cerkoney
- Vidal Antonio Cerna
- Cernuda and Cohen M.D.S P.a.
- Michelle Lynn Cerrone
- Certified Mobilitly Inc
All providers in Tampa, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.