PEDIATRIC DENTISTRY OF NEW TAMPA
NPI 1891128773
Dentist - Pediatric Dentistry in Tampa, FL

Active since August 15, 2013
5326 PRIMROSE LAKE CIR, TAMPA, FL 33647(813) 374-0388(813) 374-0390 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dentistry Of New Tampa NPPES

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

PEDIATRIC DENTISTRY OF NEW TAMPA (NPI 1891128773) is a healthcare organization registered as a pediatric dentistry in Tampa, Florida and active in the NPI registry since August 2013. The organization lists Marta Milagros Rivera, President/owner, as its authorized official.

NPPES Registry Identity

NPI1891128773
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF NEW TAMPA
Location Address5326 PRIMROSE LAKE CIRTampa, FL 33647-3589
Mailing Address5326 Primrose Lake CirTampa, FL 33647-3589 · (813) 374-0388 · Fax (813) 374-0390
Fax(813) 374-0390
Organization SubpartNo
Authorized OfficialMarta Milagros RiveraPresident/owner · (813) 374-0388
Enumeration DateAugust 15, 2013
NPI 1891128773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses Licensed in FL · DN14483 Licensed in FL · DN19520
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.
5326 PRIMROSE LAKE CIR, Tampa, FL 33647

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 MULTIPLE 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)
5326 PRIMROSE LAKE CIR
TAMPA, FL 33647

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 Pediatric Dentistry Of New Tampa's NPI number?

The NPI number for Pediatric Dentistry Of New Tampa is 1891128773. It was assigned to this organization in the NPPES registry on August 15, 2013.

Where is Pediatric Dentistry Of New Tampa located?

Pediatric Dentistry Of New Tampa is located at 5326 Primrose Lake Cir, Tampa, FL 33647. The listed phone number is (813) 374-0388.

What is Pediatric Dentistry Of New Tampa'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 Pediatric Dentistry Of New Tampa was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.