Individual provider · Type 1 NPI
Keyvan Tavakoli, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Lutz, FL
Practice location
18964 N Dale Mabry Hwy Ste 103
Lutz, FL 33548-4913
Other practice locations
- 36977 Park Ave, Burney, CA 96013-4067 · (530) 335-3651
- 18990 S Tamiami Trl # 110, Fort Myers, FL 33908-4737 · (239) 482-2296
- 4161 Tamiami Trl Ste 604, Port Charlotte, FL 33952-9283 · (941) 255-8500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 056001 (NY) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 100032 (CA) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 32856 (TX) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10615 (NC) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 22487 (FL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Lutz
About NPI 1285987206
Keyvan Tavakoli, DDS's National Provider Identifier is 1285987206, issued on Oct 16, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lutz, FL. The record was last updated on Jul 21, 2022.