Unknown Individual – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1154300994
Orthodontics and Dentofacial Orthopedics Dentistry
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
West Fletcher Avenue, North Tampa Heights, Lake Magdalene, Hillsborough County, Florida, 33613, United States
TAMPA, FL 336121820
Phone: (813) 968-2483
Fax: (813) 968-3957
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33612)
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