Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARINA SHUROVA
NPI 1265830590
Dentist - General Practice in Lutz, FL

Active since December 18, 2014
17521 N DALE MABRY HWY, LUTZ, FL 33548(813) 908-3636 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 14, 2026, Mar 7, 2023, Mar 15, 2019 (3 updates tracked since 2019).

About Marina Shurova NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINA SHUROVA (NPI 1265830590) is an individual general practice provider in Lutz, Florida, licensed in Florida (DN21019) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1265830590
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARINA SHUROVA
Location Address17521 N DALE MABRY HWYLutz, FL 33548-4521
Mailing Address17521 N Dale Mabry HwyLutz, FL 33548-4521 · (813) 908-3636
Sole ProprietorYes
Enumeration DateDecember 18, 2014
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1265830590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN21019
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

17521 N DALE MABRY HWY, Lutz, FL 33548

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265830590, enumerated as an "individual" on December 18, 2014.

The provider is located at 17521 N DALE MABRY HWY LUTZ, FL 33548 and the phone number is (813) 908-3636.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.