Lithia Pinecrest Smiles PA

NPI #1023738044 in Brandon, Florida

Provider Information

NPI Number: 1023738044
Entity Type: Organization
Organization Name: Lithia Pinecrest Smiles PA
Primary Specialty: Dentist
Enumeration Date: Aug 30, 2022
Last Updated: Aug 30, 2022

Practice Location

Address: 716 S OAKWOOD AVE
City: Brandon
State: Florida
ZIP Code: 33511-6124
Phone: (813) 285-4084

Authorized Official

Name: ANDREW CROUCH
Title: VP
Phone: (321) 872-8820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist	122300000X	Primary

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