Organization Active NPI

Seminole Heights Family Dentistry, LLC

  • Dental Clinic/Center
  • Tampa, FL
National Provider Identifier
1821740283
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SEMINOLE HEIGHTS FAMILY DENTISTRY, LLC
Practice address
300 W Hillsborough Ave
Tampa, FL 33604-6929
Phone
(813) 882-5211
Fax
(813) 435-9225
NPI assigned
Jan 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Dr. Kali R. George, DMDNPI 1811255664
Title
Dentist
Phone
(813) 882-5211

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

300 W Hillsborough Ave
Tampa, FL 33604-6929

Mailing address

4413 W Beach Park Dr
Tampa, FL 33609-3701
Phone (724) 699-3679

National Provider Directory

National Provider Directory

Locations

300 W Hillsborough Ave
Tampa, FL 33604
Phone (813) 882-5211

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": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1821740283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 W BEACH PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093701",
            "telephone_number": "724-699-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336046929",
            "telephone_number": "813-882-5211",
            "fax_number": "813-435-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE HEIGHTS FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "KALI",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-882-5211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.