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KIDZONE DENTISTRY PA NPI 1134531270


NPI Information

NPI: 1134531270
Provider Name: KIDZONE DENTISTRY PA
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
13127 KINGS LAKE DR UNIT 101
GIBSONTON, FL
ZIP 33534
Phone: (813) 677-3047
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KIDZONE DENTISTRY PA is a pediatric dentistry dentist in Gibsonton, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. KIDZONE DENTISTRY PA NPI is 1134531270. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13127 KINGS LAKE DR UNIT 101
GIBSONTON, FL
ZIP 33534-958
Phone: (813) 677-3047
Fax: (813) 284-7959

The provider's authorized official is Mounika Falemban .
The authorized official title is Owner and has the following contact phone number (813) 408-4634.

The enumeration date for this NPI number is 5/23/2014 and was last updated on 6/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistDN18289FLORIDANo
21223P0221XDentistPediatric DentistryDN18289FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1007161100MEDICAIDFLORIDA
21144472713OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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