PHOENIX DENTAL, PLLC
NPI 1720802465
Dentist - General Practice in Tampa, FL

Active since November 11, 2024
3415 W FLETCHER AVE, TAMPA, FL 33618(813) 419-3808 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Dental, Pllc NPPES

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

PHOENIX DENTAL, PLLC (NPI 1720802465) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since November 2024. The organization lists Masroor Ahmed Shariff, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1720802465
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePHOENIX DENTAL, PLLC
Location Address3415 W FLETCHER AVETampa, FL 33618-2813
Mailing Address13011 Terrace Brook PlTemple Terrace, FL 33637-3009 · (813) 404-7613
Organization SubpartNo
Authorized OfficialMasroor Ahmed ShariffGeneral Dentist · (813) 419-3808
Enumeration DateNovember 11, 2024
NPPES CertifiedNovember 10, 2024
NPI 1720802465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3415 W FLETCHER AVE, Tampa, FL 33618

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 2

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

Home Health
3415 W FLETCHER AVE
TAMPA, FL 33618
Dentist
3415 W FLETCHER AVE
TAMPA, FL 33618

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 Phoenix Dental, PLLC's NPI number?

The NPI number for Phoenix Dental, PLLC is 1720802465. It was assigned to this organization in the NPPES registry on November 11, 2024.

Where is Phoenix Dental, PLLC located?

Phoenix Dental, PLLC is located at 3415 W Fletcher Ave, Tampa, FL 33618. The listed phone number is (813) 419-3808.

What is Phoenix Dental, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Phoenix Dental, PLLC was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.