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Florida Dental Professionals, P.a.

Organization Active NPI General Practice Dentistry · Tampa, FL

NPI 1760120166 · NPPES record last updated Feb 13, 2024

Key facts

NPI
1760120166
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
FLORIDA DENTAL PROFESSIONALS, P.A.
Practice address
15277 Amberly Dr
Tampa, FL 33647-2155
Phone
(813) 971-1688
NPI assigned
May 25, 2022
Organization subpart
Yes
Parent organization (as reported)
FLORIDA DENTAL PROFESSIONALS, P.A.

Authorized official

Name
Courtney R Monteith
Title
Credentialing Coordinator
Phone
(217) 540-8306

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 12

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

Practitioners 4

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

National Provider Directory

Tax ID family
Florida Dental Professionals PA (13 organizations share this tax ID)
Part of
Florida Dental Professionals PA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

15277 Amberly Dr
Tampa, FL 33647-2155

Mailing address

15277 Amberly Dr
Tampa, FL 33647-2155

Other names

  • Somerset Dental Care Doing business as

Other providers in Tampa, FL

All providers in Tampa, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.