EVERET LAKE – General Practice Dentistry, NPI 1184792657
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EVERET LAKE
2502, North Rocky Point Drive, Tampa, Hillsborough County, Florida, 33607, United States
SUITE 1000-CREDENTIALING
TAMPA, FL 336071421
Phone:
Type: Mailing
4924 S. ALLEN ROAD
ZEPHYRHILLS, FL 33541
Phone: (813) 779-8591
Type: Location
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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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-11-23
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33607)
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