LI'L SUNSHINE SMILES DENTISTRY P.A


Address: 12950 Race Track Rd Ste 109, Tampa, FL 33626-1304
Phone: 7192891799

LI'L SUNSHINE SMILES DENTISTRY P.A (NPI# 1154977528) 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) 1154977528
Entity Type Organization
Organization Name LI'L SUNSHINE SMILES DENTISTRY P.A
Practice Address 12950 Race Track Rd Ste 109
Tampa
FL 33626-1304
Mailing Address 4904 Ebensburg Dr
Tampa
FL 33647-1381
Practice Telephone 7192891799
Mailing Telephone 7192891799
Enumeration Date 2019-08-12
Last Update Date 2019-08-12
Authorized Official Name DR. CATALINA BOTERO (DDS/PRESIDENT)
Authorized Official Telephone 7192891799
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 023572000 05

Office Location

Street Address 12950 RACE TRACK RD STE 109
City TAMPA
State FL
Zip Code 33626-1304

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1578098414 Alexis Brooke Cross Speech-Language Pathologist 11672 Crowned Sparrow Ln, Tampa, FL 33626 2017-04-28
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1629612668 Humanitary Medical Center, Inc. Clinic/Center 6607 N Dale Mabry Hwy, Tampa, FL 33614-3985 2019-11-02
1619435039 Hillsborough Community College Clinic/Center 4001 W Tampa Bay Blvd, Tampa, FL 33614-7810 2019-03-05
1992275929 Tampa Dental Wellness of Carrollwood, LLC Clinic/Center 11123 N Dale Mabry Hwy, Tampa, FL 33618-3803 2018-12-03
1184109688 Rocky River Healthcare Clinic/Center 3401 W Fletcher Ave Ste A, Tampa, FL 33618-2813 2018-10-01
1750863221 Community Smiles P.a. Clinic/Center 14201 Bruce B Downs Blvd Ste 1, Tampa, FL 33613-3906 2018-08-31
1295198935 Sheehy Sleep Dental Clinic/Center 1120 E Twiggs St Unit 391, Tampa, FL 33602-3155 2016-03-31
1245608348 Tampa Family Health Centers Inc Clinic/Center 302 E. Fletcher Avenue, Tampa, FL 33612-3415 2015-09-04
1710393806 All Dental Tampa, Inc Clinic/Center 3814 W Bay Vista Ave, Tampa, FL 33611-1226 2014-07-09
1497183800 Juliet Suzanne Bulnes Dmd, Pa Clinic/Center 10810 Sheldon Rd, Tampa, FL 33626-5117 2013-10-22
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Competitor

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City TAMPA
Zip Code 33626

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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.

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