DEEP ROOTS DENTAL AND FACIAL ASETHETICS LLC
NPI 1376350082
Clinic/Center - Dental in Lutz, FL

Active since December 16, 2024
3013 ALLEGRA WAY, LUTZ, FL 33559(813) 839-2273 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deep Roots Dental And Facial Asethetics Llc NPPES

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

DEEP ROOTS DENTAL AND FACIAL ASETHETICS LLC (NPI 1376350082) is a healthcare organization registered as a dental in Lutz, Florida and active in the NPI registry since December 2024. The organization lists Marnie Chall Bauer, Owner, as its authorized official.

NPPES Registry Identity

NPI1376350082
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDEEP ROOTS DENTAL AND FACIAL ASETHETICS LLC
Location Address3013 ALLEGRA WAYLutz, FL 33559-6997
Mailing Address4509 W Culbreath AveTampa, FL 33609-4205
Organization SubpartNo
Authorized OfficialMarnie Chall BauerOwner · (813) 839-2273
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
NPI 1376350082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3013 ALLEGRA WAY, Lutz, FL 33559

Other Names 1

Doing Business AsDeep Roots Dental And Facial Asethetics Llc

Other Providers at the Same Location NPPES

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

Dentist
3013 ALLEGRA WAY
LUTZ, FL 33559

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 Deep Roots Dental And Facial Asethetics LLC's NPI number?

The NPI number for Deep Roots Dental And Facial Asethetics LLC is 1376350082. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Deep Roots Dental And Facial Asethetics LLC located?

Deep Roots Dental And Facial Asethetics LLC is located at 3013 Allegra Way, Lutz, FL 33559. The listed phone number is (813) 839-2273.

What is Deep Roots Dental And Facial Asethetics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Deep Roots Dental And Facial Asethetics LLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.