Vivian C Deluca, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16085 Issued in FL

Practice address

4945 Van Dyke Rd
Lutz, FL 33558-4813

Phone

(813) 365-3552

Fax

(800) 869-5053

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Vivian C. Terhune Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Impeccable Smiles, LLC

  • Dental Clinic/Center
  • Lutz, FL
  • NPI 1861103780
  NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1992835391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584813",
            "telephone_number": "813-365-3552",
            "fax_number": "800-869-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584813",
            "telephone_number": "813-365-3552",
            "fax_number": "800-869-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "VIVIAN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "TERHUNE",
            "middle_name": "C.",
            "prefix": "MISS",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Joseph Deliberato, D.O
• Victoria Esmaralda Delicio
• Laura J Delle Donne, LMHC, CHT
• Stephanie Joyce Delorenzo
• Joseph Anthony Delosreyes Jr., RPH
• James Salvatore Demauro, LCSW
• Emily Caroline Denisco, APRN,FNP-C
• Dental Associates of Florida (Lutz), PLLC
• Dental Care of Vandyke Inc
• Dental House LLC

• General Practice Dentistry in Lutz, FL
• Providers in Lutz, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.