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FISHHAWK MODERN DENTISTRY
NPI 1730726506
Dentist in Lithia, FL

Active since November 29, 2019
16509 FISHHAWK BLVD, LITHIA, FL 33547(813) 563-8108 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2022, Nov 29, 2019 (2 updates tracked since 2019).

About Fishhawk Modern Dentistry NPPES

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

FISHHAWK MODERN DENTISTRY (NPI 1730726506) is a healthcare organization registered as a dentist in Lithia, Florida and active in the NPI registry since November 2019. The organization lists Katie L Mccann Lee, Owner/gp, as its authorized official.

NPPES Registry Identity

NPI1730726506
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFISHHAWK MODERN DENTISTRY, PA
Location Address16509 FISHHAWK BLVDLithia, FL 33547-3835
Mailing AddressPo Box 920050Dallas, TX 75392-0050
Phone(813) 563-8108
Organization SubpartNo
Authorized OfficialKatie L Mccann LeeOwner/gp · (813) 563-8108
Enumeration DateNovember 29, 2019
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1730726506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
16509 FISHHAWK BLVD, Lithia, FL 33547
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Other Names 1

Doing Business AsFishhawk Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

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 Fishhawk Modern Dentistry, PA's NPI number?

The NPI number for Fishhawk Modern Dentistry, PA is 1730726506. It was assigned to this organization in the NPPES registry on November 29, 2019. The provider is doing business as Fishhawk Modern Dentistry.

Where is Fishhawk Modern Dentistry, PA located?

Fishhawk Modern Dentistry, PA is located at 16509 Fishhawk Blvd, Lithia, FL 33547. The listed phone number is (813) 563-8108.

What is Fishhawk Modern Dentistry, PA's specialty?

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

What insurance does Fishhawk Modern Dentistry, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Fishhawk Modern Dentistry, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fishhawk Modern Dentistry, PA was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.