DR. ROD K DIETZ (NPI# 1629326277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629326277 |
| Entity Type | Individual |
| Full Name | DR. ROD K DIETZ |
| Credential | D.D.S. |
| Practice Address |
7728 Palm River Rd Tampa FL 33619-4215 |
| Mailing Address |
13110 Elk Mountain Dr Riverview FL 33579-7182 |
| Practice Telephone | 8136303600 |
| Practice Fax Number | 8139386428 |
| Mailing Telephone | 8133497568 |
| Mailing Fax Number | 8133497561 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2017-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN15132 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006577800 | 05 |
| Street Address |
7728 PALM RIVER RD |
| City | TAMPA |
| State | FL |
| Zip Code | 33619-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053424945 | Susan S Bingham | Nurse Practitioner | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2006-08-16 |
| 1609475466 | Suncoast Community Health Center, Inc | Clinic/Center | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2020-10-22 |
| 1982242517 | Virendra Patel | Pharmacist | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2019-12-13 |
| 1578941985 | Erin Saucier | Dentist | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2015-05-18 |
| 1477979748 | Suncoast Community Health Centers, Inc | Clinic/Center | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2014-03-11 |
| 1043636566 | Suncoast Community Health Centers Inc | Pharmacy | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2014-03-07 |
| 1801174131 | Denisse Lasanta | Dentist | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2011-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740706787 | Nuevo Amanecer Tampa, LLC | Assisted Living Facility | 7405 Aripeka Dr, Tampa, FL 33619 | 2017-08-22 |
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1750817110 | Ajaa Love Care Services | Home Health | 8905 Tidewater Trail, Tampa, FL 33619 | 2017-05-04 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| 1598116741 | Austin Chase | Chiropractor | 10081 E Adamo Dr, Tampa, FL 33619 | 2016-06-29 |
| 1841667003 | Healthworks Med Group of Florida Pa | General Practice | 9527 Delaney Creek Blvd, Tampa, FL 33619 | 2015-08-24 |
| 1962883371 | A Plus Alliance Home Care Agency, LLC | Home Health | 1503 South Hwy 301 Suite 13, Tampa, FL 33619 | 2015-06-11 |
| 1285026377 | Fatty Ademola Aderoju | Pharmacist | 5701 Hillsborough Ave, Tampa, FL 33619 | 2015-02-26 |
| 1942692504 | Henry Fate Corporation | Home Health | 9325 Bay Plaza Blvd, Suite 205, Tampa, FL 33619 | 2015-02-19 |
| 1598189938 | Willie Ruth Miller | Custodial Care Facility | 4812 S. 86th St, Tampa, FL 33619 | 2014-02-05 |
| Find all providers in zip 33619 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742499 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 8682 Hunters Village Rd, Tampa, FL 33647-3778 | 2020-02-13 |
| 1194387118 | Matthew Sorsok | Dentist | 8406 Wilsky Blvd, Tampa, FL 33615-1515 | 2019-06-29 |
| 1922666056 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 13805 Nine Eagles Dr, Tampa, FL 33626-3002 | 2019-06-04 |
| 1346728425 | Buckenheimer & Bulnes, D.m.d.'s P.a. | Dentist | 3906 W. Neptune St., Tampa, FL 33629-5829 | 2018-08-01 |
| 1700308855 | Neil Bradley Seaver | Dentist | 16562 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2017-07-11 |
| 1801316310 | Affiliated Dental Specialist Pl | Dentist | 13129 N Dale Mabry Hwy Ste H, Tampa, FL 33618-2444 | 2017-06-26 |
| 1215457767 | Affiliated Dental Specialist Pl | Dentist | 17401 Commerce Park Blvd Ste 101, Tampa, FL 33647-3507 | 2017-06-26 |
| 1316479959 | Jennifer Lindsay Kucko | Dentist | 12113 W Linebaugh Ave, Tampa, FL 33626-1732 | 2017-04-02 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1821441601 | Nicholas K. Mickelson | Dentist | 10041 W Hillsborough Ave, Tampa, FL 33615-3002 | 2016-07-18 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.