Organization Active NPI

RR Lutz Dental, PLLC

  • General Practice Dentistry
  • Lutz, FL
National Provider Identifier
1962356212
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RR LUTZ DENTAL, PLLC
Doing business as
Lutz Dental
Practice address
19105 US Highway 41
Suite 100
Lutz, FL 33549-4206
Phone
(813) 591-6666
Fax
(813) 591-6435
NPI assigned
Feb 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Adrienne Tyler
Title
Director of Operations
Phone
(813) 684-7888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

19105 US Highway 41
Suite 100
Lutz, FL 33549-4206

Mailing address

787 W Lumsden Road
Brandon, FL 33511-6261
Phone (813) 684-7888

Other names 1

  • Lutz Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1962356212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 W LUMSDEN ROAD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116261",
            "telephone_number": "813-684-7888",
            "fax_number": "813-684-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19105 US HIGHWAY 41",
            "address_2": "SUITE 100",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494206",
            "telephone_number": "813-591-6666",
            "fax_number": "813-591-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RR LUTZ DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "813-684-7888"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutz Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 24, 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.