Individual provider Active NPI

Florentino Andew Priede, D.D.S.

  • General Practice Dentistry
  • Lutz, FL
National Provider Identifier
1891818449
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN2105 Issued in FL
Practice address
148 Whitaker Rd
Lutz, FL 33549-7611
Phone
(813) 949-3211
Fax
(813) 949-2714
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN2105 FL Primary

Addresses

Primary practice location

148 Whitaker Rd
Lutz, FL 33549-7611

Mailing address

2403 S Ardson PL
302B
Tampa, FL 33629-7346
Phone (813) 251-1913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN2105FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William J Geyer DDS, PA General Practice Past Accepting new patients
All About Smiles Tampa PC General Practice PastSince Aug 25, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891818449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 S ARDSON PL",
            "address_2": "302B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297346",
            "telephone_number": "813-251-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WHITAKER RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335497611",
            "telephone_number": "813-949-3211",
            "fax_number": "813-949-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEDE",
        "first_name": "FLORENTINO",
        "middle_name": "ANDEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.