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NORTHEAST DENTAL CARE
NPI 1619065356
Dentist in Tampa, FL

Active since October 10, 2006
13905 BRUCE B DOWNS BLVD, SUITE A, TAMPA, FL 33613(813) 978-1090 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Northeast Dental Care NPPES

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

NORTHEAST DENTAL CARE (NPI 1619065356) is a healthcare organization registered as a dentist in Tampa, Florida and active in the NPI registry since October 2006. The organization lists Robert Overton Bersot, Owner, as its authorized official.

NPPES Registry Identity

NPI1619065356
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameNORTHEAST DENTAL CARE
Location Address13905 BRUCE B DOWNS BLVD, SUITE ATampa, FL 33613-3905
Mailing Address13905 Bruce B Downs Blvd, Suite ATampa, FL 33613-3905 · (813) 978-1090
Phone(813) 978-1090
Organization SubpartNo
Authorized OfficialRobert Overton BersotOwner · (813) 978-1090
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619065356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 10448
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.
13905 BRUCE B DOWNS BLVD, Tampa, FL 33613
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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 3

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

DR. ROBERT OVERTON BERSOT D.M.D.
Dentist
13905 BRUCE B DOWNS BLVD, SUITE A
TAMPA, FL 33613
Hillsborough County (813) 978-1090
TAMPA BAY HAND CENTER, P.A.
Surgery (Surgery of the Hand)
13905 BRUCE B DOWNS BLVD, SUITE B
TAMPA, FL 33613
Hillsborough County (813) 978-9494
TAMPA BAY HAND SURGERY CENTER, P.A.
Clinic/Center (Ambulatory Surgical)
13905 BRUCE B DOWNS BLVD, SUITE B
TAMPA, FL 33613
Hillsborough County (813) 978-9494

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 Northeast Dental Care's NPI number?

The NPI number for Northeast Dental Care is 1619065356. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Northeast Dental Care located?

Northeast Dental Care is located at 13905 Bruce B Downs Blvd Suite A, Tampa, FL 33613. The listed phone number is (813) 978-1090.

What is Northeast Dental Care'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 Northeast Dental Care was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.