National Provider Identifier Database

TLC PEDIATRIC DENTISTRY INC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

TLC PEDIATRIC DENTISTRY, INC.
3223 S DALE MABRY HWY
TAMPA, FL33629-7815
Phone: 813-876-4370
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for TLC PEDIATRIC DENTISTRY, INC.

NPI Number 1861840654
Legal business name
LBN
TLC PEDIATRIC DENTISTRY, INC.
Authorized official DWIGHT SANJUAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/02/2016
Last updated 06/02/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: B15486

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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