GRAND DENTAL, LLC (NPI# 1831561125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831561125 |
| Entity Type | Organization |
| Organization Name | GRAND DENTAL, LLC |
| Other Organization Name | CARROLLWOOD SMILES |
| Practice Address |
3401 W Fletcher Ave Suite A Tampa FL 33618-2813 |
| Practice Telephone | 8132694000 |
| Practice Fax Number | 8132694001 |
| Mailing Telephone | 8132694000 |
| Mailing Fax Number | 8132694001 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | SYLVIA JESSENE MILLER (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 3214312208 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRAND DENTAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Carrollwood Smiles | Doing Business As Name - Organization |
| Street Address |
3401 W FLETCHER AVE SUITE A |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| 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.