Active NPI
RR Lutz Dental, PLLC
- General Practice Dentistry
- Lutz, FL
National Provider Identifier
1962356212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryNPI 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.