NPIMap

Organization Active NPI

Tampa Prosth

  • Dental Clinic/Center
  • Odessa, FL
National Provider Identifier
1669048823
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TAMPA PROSTH
Doing business as
Jolie Smiles Denture & Implant Studio
Practice address
7749 Van Dyke Rd
Odessa, FL 33556-4632
Phone
(561) 866-6482
NPI assigned
May 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Ngoc Trang Caroline Truong, DMD, MSNPI 1942704499
Title
Provider
Phone
(561) 866-6482

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

7749 Van Dyke Rd
Odessa, FL 33556-4632

Mailing address

7749 Van Dyke Rd
Odessa, FL 33556-4632

Other names 1

  • Jolie Smiles Denture & Implant Studio Doing business as

National Provider Directory

National Provider Directory

Locations

7749 Van Dyke Rd
Odessa, FL 33556
Phone (561) 866-6482

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": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1669048823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7749 VAN DYKE RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7749 VAN DYKE RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564632",
            "telephone_number": "561-866-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA PROSTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "NGOC TRANG",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "561-866-6482",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jolie Smiles Denture & Implant Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.