ST. LUKE'S DENTAL, PLC. (NPI# 1588091250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588091250 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S DENTAL, PLC. |
| Practice Address |
1908 Land O Lakes Blvd Suite 3 Lutz FL 33549-2914 |
| Practice Telephone | 8139091555 |
| Practice Fax Number | 8139091556 |
| Mailing Telephone | 8139091555 |
| Mailing Fax Number | 8139091556 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |
| Authorized Official Name | DR. DANIEL WAHBA (OWNER) |
| Authorized Official Telephone | 8139091555 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN15339 | FL | Ambulatory Health Care Facilities |
| Street Address |
1908 LAND O LAKES BLVD SUITE 3 |
| City | LUTZ |
| State | FL |
| Zip Code | 33549-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285787416 | Daniel Wahba | Dentist | 1908 Land O Lakes Blvd, Suite 3, Lutz, FL 33549-2914 | 2007-01-19 |
| 1619234812 | Stephanie Therese Trexler | Obstetrics & Gynecology | 1908 Land O Lakes Blvd, Lutz, FL 33549-2914 | 2012-04-12 |
| 1851586770 | Karolina Borodo | Obstetrics & Gynecology | 1908 Land O Lakes Blvd, The Womans Group, Lutz, FL 33549 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659901189 | Keri L Freeman | Counselor | 1550 Michelin Court, Lutz, FL 33549 | 2020-01-23 |
| 1699335794 | Michaela C Elza | Behavior Technician | 18288 Us-41 S, Lutz, FL 33549 | 2019-06-19 |
| 1760923437 | Behavior Modification Solutions Aba, LLC | Behavioral Analyst | 1941 Crape Myrtle Loop, 205, Lutz, FL 33549 | 2017-03-15 |
| 1417497157 | Donna Ford | Counselor | 1511 Michelin Court, Lutz, FL 33549 | 2017-02-28 |
| 1376957985 | Absolute Pharmacy, LLC | Pharmacy | 16011 N. Nebraska Ave, Suite 103, Lutz, FL 33549 | 2014-06-12 |
| 1144568544 | Christine Cook | Speech-Language Pathologist | 16102 N. Florida Ave., Tampa, FL 33549 | 2013-01-21 |
| 1174803001 | Jennifer Marie Martinc | Occupational Therapy Assistant | 16102 N. Florida Avenue, Lutz, FL 33549 | 2011-08-23 |
| 1871741975 | Joseph J. Ferrandino | Counselor | 16120 N. Florida Ave., Lutz, FL 33549 | 2008-09-03 |
| 1588835011 | Priti Nmi Bapna | Dentist | 1528 Land O'lakes Blvd, Suite 101, Lutz, FL 33549 | 2008-03-12 |
| 1831382381 | Denise N Sarco-stipe | Speech-Language Pathologist | 16102 N. Florida Ave, Suite 910, Lutz, FL 33549 | 2007-08-18 |
| Find all providers in zip 33549 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956070 | Dental Associates of Florida (lutz), Pllc | Clinic/Center | 23641 State Road 54, Lutz, FL 33559-7306 | 2019-01-22 |
| 1508486200 | Advanced Dental Designs, LLC | Clinic/Center | 17735 Hunting Bow Circle, Apartment, Suite, Unit, Building, Floor, Lutz, FL 33558 | 2020-04-22 |
| 1952949141 | Lumina Dental of Lutz, Pa | Clinic/Center | 2425 Brunello Trce, Lutz, FL 33558-7800 | 2019-12-18 |
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| 1376142547 | Trm Global Enterprise,llc. | Clinic/Center | 145 Crawl Key Ct, Deland, FL 32720-3951 | 2020-10-20 |
| 1568060762 | Bawany LLC | Clinic/Center | 15130 Springview St, Tampa, FL 33624-2332 | 2020-10-12 |
| 1992312730 | Rocent Dental Care, Inc. | Clinic/Center | 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 | 2020-09-25 |
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1952916306 | Simmons Services LLC | Clinic/Center | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 |
| Find all providers with the same taxonomy | ||||
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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.