Healthcare Provider Details

I. General information

NPI: 1427068402
Provider Name (Legal Business Name): HEIDI S ATTAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E KENNEDY BLVD SUITE 300
TAMPA FL
33602
US

IV. Provider business mailing address

101 E KENNEDY BLVD SUITE 300
TAMPA FL
33602
US

V. Phone/Fax

Practice location:
  • Phone: 813-223-5677
  • Fax: 813-223-5688
Mailing address:
  • Phone: 813-223-5677
  • Fax: 813-223-5688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN14992
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: