SOUTH TAMPA DENTAL
NPI 1316242787
Dentist in Tampa, FL

Q: What is South Tampa Dental's NPI number?

The NPI number for South Tampa Dental is 1316242787. It was assigned to this organization in the NPPES registry on January 17, 2011.

Q: What is South Tampa Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since January 17, 2011

3112 W KENNEDY BLVD, TAMPA, FL 33609(813) 874-5869 Get Directions Write a Review

NPPES record last updated: January 17, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About South Tampa Dental NPPES

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

SOUTH TAMPA DENTAL (NPI 1316242787) is a healthcare organization registered as a dentist in Tampa, Florida and active in the NPI registry since January 2011. The organization lists Jenny Leon, Receptionist, as its authorized official.

NPPES Registry Identity

NPI1316242787

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSOUTH TAMPA DENTAL

Location Address3112 W KENNEDY BLVDTampa, FL 33609-3021

Mailing Address3112 W Kennedy BlvdTampa, FL 33609-3021

Phone(813) 874-5869

Organization SubpartNo

Authorized OfficialJenny LeonReceptionist · (813) 874-5869

Enumeration DateJanuary 17, 2011

✔ NPI 1316242787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN0010475

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3112 W KENNEDY BLVD, Tampa, FL 33609

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICTOR M BUSTOS DMD, PL

Dentist (General Practice)

3112 W KENNEDY BLVD, SUITE A
TAMPA, FL 33609

Hillsborough County (813) 874-5869

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Tampa Dental's NPI number?

The NPI number for South Tampa Dental is 1316242787. It was assigned to this organization in the NPPES registry on January 17, 2011.

Where is South Tampa Dental located?

South Tampa Dental is located at 3112 W Kennedy Blvd, Tampa, FL 33609. The listed phone number is (813) 874-5869.

What is South Tampa Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for South Tampa Dental was last updated on January 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.