Healthcare Provider Details

I. General information

NPI: 1063328524
Provider Name (Legal Business Name): PROSMILE UNLIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8345 GUNN HWY
TAMPA FL
33626-1608
US

IV. Provider business mailing address

8345 GUNN HWY
TAMPA FL
33626-1608
US

V. Phone/Fax

Practice location:
  • Phone: 813-575-5926
  • Fax:
Mailing address:
  • Phone: 813-575-5926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DAVID GEORGE
Title or Position: DENTIST
Credential: DDS
Phone: 813-575-5926