Organization · Type 2 NPI
Ideal Modern Dentistry
Dental Clinic/Center · Tampa, FL
NPI number
1053111641
Active
Practice location
1311 W Fletcher Ave
Tampa, FL 33612-3310
Fax (813) 454-0685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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- John M Solak DMD PADental Clinic/Center Tampa, FL NPI 1124169156
- M & B Dental Designs, LLCDental Clinic/Center Tampa, FL NPI 1124620885
- Citrus Park Endodontics, PADental Clinic/Center Tampa, FL NPI 1134230196
- DR Nick's White & Healthy, IncDental Clinic/Center Tampa, FL NPI 1134754005
- Li'l Sunshine Smiles Dentistry P.aDental Clinic/Center Tampa, FL NPI 1154977528
- Rocky River HealthcareDental Clinic/Center Tampa, FL NPI 1184109688
About NPI 1053111641
Ideal Modern Dentistry's National Provider Identifier is 1053111641, issued on Mar 14, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tampa, FL. The record was last updated on Sep 13, 2026.