KEYVAN TAVAKOLI, DDS, MDS, P.A.


Address: 18964 N Dale Mabry Hwy Ste 103, Lutz, FL 33548-4913
Phone: (813) 591-1568

KEYVAN TAVAKOLI, DDS, MDS, P.A. (NPI# 1003345802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003345802
Entity Type Organization
Organization Name KEYVAN TAVAKOLI, DDS, MDS, P.A.
Other Organization Name VALERIAN ORTHODONTICS
Practice Address 18964 N Dale Mabry Hwy Ste 103
Lutz
FL 33548-4913
Practice Telephone (813) 591-1568
Mailing Telephone 8135911568
Enumeration Date 2017-06-06
Last Update Date 2017-06-06
Authorized Official Name DR. KEYVAN TAVAKOLI (PRESIDENT)
Authorized Official Telephone 9109225707
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
DN22487 FL Dental Providers

Other Provider/Organization Names

Other Name Type Code
Valerian Orthodontics Doing Business As Name - Organization

Office Location

Street Address 18964 N DALE MABRY HWY STE 103
City LUTZ
State FL
Zip Code 33548-4913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285987206 Keyvan Tavakoli Dentist 18964 N Dale Mabry Hwy Ste 103, Lutz, FL 33548-4913 2012-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205337821 Chiros On 54 LLC Chiropractor 1003 N Dale Mabry Hwy, Lutz, FL 33548 2018-02-28
1295233666 Issac M Arroyo Behavior Technician 18288 Us 41, Lutz, FL 33548 2018-01-31
1699293225 Lettuce Lake Emergency Physicians LLC Physician Assistant 1430 Dale Mabry Highway, Lutz, FL 33548 2017-09-04
1780010512 Yanina Abaunza-fiallos Md Pa Pediatrics 17541 N. Dale Mabry Hwy., Lutz, FL 33548 2013-09-25
1891138459 Atlas Medical Services, Inc Durable Medical Equipment & Medical Supplies 3859 Van Dyke Rd, Suite 161, Lutz, FL 33548 2013-04-14
1407122492 Tania Isabel Mendoza Pathology 19045 N Dale Mabry Hwy, Lutz, FL 33548 2012-03-24
1528362944 Life Discovery Counseling Center Counselor 18371 Exciting Idlewild Blvd, Lutz, FL 33548 2010-12-28
1356643423 Heidi Jane Pickering Chiropractor 19011 N Dale Mabry, Lutz, FL 33548 2010-11-23
1992015762 Yolanda R. Harper Social Worker 1527 Dale Mabry Hwy Ste 103, Lutz, FL 33548 2010-10-14
1821231846 Michael Lee Bishop Psychologist 18958 N Dale Mabry Hwy, Ste 102, Lutz, FL 33548 2009-04-07
Find all providers in zip 33548

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528198769 Brian W Thomas Dentist 2047 Osprey Ln, Suite D, Lutz, FL 33549-4111 2007-03-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326647215 Matthew Inaba Pickron Dentist 6476 Lake Worth Rd, Lake Worth, FL 33463 2020-10-21
1366056848 Brandon Lee Zipper Dentist 901 N Congress Ave Ste 107, Boynton Beach, FL 33426-3316 2020-09-02
1851903298 Ocoee Dental & Orthodontics, P.a. Dentist 2910 Maguire Rd Ste 1005, Ocoee, FL 34761-4742 2020-08-18
1700411857 Imagine Orthodontic Studio Pllc Dentist 3595 S Florida Ave, Lakeland, FL 33803-4860 2020-03-10
1952933541 Katherine Kapernaros Dentist 1395 Center Dr Rm D7-35, Gainesville, FL 32610-3006 2020-02-11
1609408574 Ortho 99 Plus 1 Dentist 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 2020-02-10
1538709514 Gardner Orthodontics Dentist 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 2020-01-08
1700421344 Lindsay A Ringdahl Dmd Ms Pa Dentist 85 Weston Rd Unit 102, Weston, FL 33326-1158 2019-11-07
1942844493 Daniel R Camacho Dentist 4330 Sheridan St Ste 201a, Hollywood, FL 33021-1406 2019-10-28
1982247102 Thebis A. Franceschi Dentist 813 Delmar Way Apt 116, Delray Beach, FL 33483-3366 2019-10-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City LUTZ
Zip Code 33548

Improve Information

Please comment or provide details below to improve the information on KEYVAN TAVAKOLI, DDS, MDS, P.A..

Dataset Information

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.

Trending Searches