CARR PEDIATRIC DENTISTRY
NPI 1720597842
Dentist - Pediatric Dentistry in Riverview, FL

Active since September 20, 2017
11936 BOYETTE RD, RIVERVIEW, FL 33569(813) 672-3368 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Sep 20, 2017 (2 updates tracked since 2017).

About Carr Pediatric Dentistry NPPES

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

CARR PEDIATRIC DENTISTRY (NPI 1720597842) is a healthcare organization registered as a pediatric dentistry in Riverview, Florida and active in the NPI registry since September 2017. The organization lists Natalie Carr Bustillo, President, as its authorized official.

NPPES Registry Identity

NPI1720597842
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCARR PEDIATRIC DENTISTRY, PA
Location Address11936 BOYETTE RDRiverview, FL 33569-5601
Mailing Address11936 Boyette RdRiverview, FL 33569-5601 · (813) 672-3368
Organization SubpartNo
Authorized OfficialNatalie Carr BustilloPresident · (813) 672-3368
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1720597842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
11936 BOYETTE RD, Riverview, FL 33569

Other Names 1

Doing Business AsCarr Pediatric Dentistry

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.

Dentist (Pediatric Dentistry)
11936 BOYETTE RD
RIVERVIEW, FL 33569

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 Carr Pediatric Dentistry, PA's NPI number?

The NPI number for Carr Pediatric Dentistry, PA is 1720597842. It was assigned to this organization in the NPPES registry on September 20, 2017. The provider is doing business as Carr Pediatric Dentistry.

Where is Carr Pediatric Dentistry, PA located?

Carr Pediatric Dentistry, PA is located at 11936 Boyette Rd, Riverview, FL 33569. The listed phone number is (813) 672-3368.

What is Carr Pediatric Dentistry, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Carr Pediatric Dentistry, PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.