LUMINA DENTAL OF LUTZ, PA


Address: 2425 Brunello Trce, Lutz, FL 33558-7800
Phone: 8133815858

LUMINA DENTAL OF LUTZ, PA (NPI# 1952949141) 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) 1952949141
Entity Type Organization
Organization Name LUMINA DENTAL OF LUTZ, PA
Practice Address 2425 Brunello Trce
Lutz
FL 33558-7800
Mailing Address 2945 Guinevere Dr
Titusville
FL 32780-5916
Practice Telephone 8133815858
Mailing Telephone 3214312208
Enumeration Date 2019-12-18
Last Update Date 2019-12-18
Authorized Official Name DR. JOHN D IVEY (OWNER)
Authorized Official Telephone 8133815858
Authorized Official Credential DMD
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/Organization Names

Other Name Type Code
LUMINA DENTAL OF LUTZ Doing Business As Name - Organization

Office Location

Street Address 2425 BRUNELLO TRCE
City LUTZ
State FL
Zip Code 33558-7800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548611510 Rocio Barocio Torano Dentist 2425 Brunello Trce, Lutz, FL 33558-7800 2016-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801353792 Oral Maxillofacial and Implant Specialists, LLC Dentist 4675 Van Dyke Rd., Lutz, FL 33558 2019-02-27
1780175273 Elder Services of Central Florida, Inc Home Health 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 2018-05-21
1356843106 Physicial Medicine & Rehab Consultants Clinic/Center 18865 State Road 54 Ste 301, Lutz, FL 33558 2018-03-07
1376905851 Michelle Renee Story Contractor 20921 Haulover Cv. #f6, Lutz, FL 33558 2016-03-24
1992192223 Melissa Sonia Giblin Specialist/Technologist, Other 17535 Darby Ln, Lutz, FL 33558 2015-04-24
1396177739 Zoe Scripts Laboratory Services LLC Clinical Medical Laboratory 4969 Van Dyke Rd., Lutz, FL 33558 2013-08-08
1649617705 Suzanne Marie Newby Physician Assistant 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 2013-05-30
1073889572 Julie J. Mckean, Lmhc, Ncc, LLC Counselor 4929 Van Dyke Road, Lutz, FL 33558 2012-03-29
1750524864 Sheetal Suryawanshi Dentist 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 2009-04-20
1063675478 Juan J Egas Physical Medicine & Rehabilitation 17807 Hunting Bow Cir, Lutz, FL 33558 2008-07-07
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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
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
1588091250 St. Luke's Dental, Plc. Clinic/Center 1908 Land O Lakes Blvd, Suite 3, Lutz, FL 33549-2914 2013-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699376525 Hoffmann Holdings Inc Clinic/Center 515 Semoran Blvd Ste 1000, Casselberry, FL 32707-5341 2020-11-06
1811598238 Dental Plus Management, LLC Clinic/Center 16 Ne 2nd Ave, Deerfield Beach, FL 33441-3504 2020-11-03
1750981452 Smillie Dental Pllc Clinic/Center 5537 S Williamson Blvd Ste 675, Port Orange, FL 32128-8314 2020-10-30
1609476027 R & R Dentistry Pa Clinic/Center 6290 Linton Blvd Unit 202, Delray Beach, FL 33484-6409 2020-10-26
1295334126 Friedman Dental Group Miami, Pllc Clinic/Center 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 2020-10-21
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
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Competitor

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City LUTZ
Zip Code 33558

Improve Information

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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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