Grace Ishak, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DRPM2745 Issued in FL

Practice address

8325 Gunn Hwy
Tampa, FL 33626-1608

Phone

(813) 413-7758

NPI assigned

Jun 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boulevard Dental Citrus Park, LLC

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1225920853
  NPD (past)

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1750123345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 DERBY GLEN DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335592006",
            "telephone_number": "813-325-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261608",
            "telephone_number": "813-413-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAK",
        "first_name": "GRACE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DRPM2745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abraham Kebedom Isaak, MD
• Samantha Capri Isabella, PA-C
• Timothy R. Isakson, MD
• Maria Helena Isaza, PH.D.
• Leidy L Isenalumhe, MD, MS
• Marina Ishak
• Kolawole Ishola, RPH
• Olabode Ishola, RPH
• Ishwari Prasad MD PH D PA
• Rachel Elizabeth Isidore, APRN

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.