Healthcare Provider Details

I. General information

NPI: 1841188851
Provider Name (Legal Business Name): CESAR A CHILMAZA DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9914 W LINEBAUGH AVE
TAMPA FL
33626-1858
US

IV. Provider business mailing address

9914 W LINEBAUGH AVE
TAMPA FL
33626-1858
US

V. Phone/Fax

Practice location:
  • Phone: 954-675-3742
  • Fax:
Mailing address:
  • Phone: 954-675-3742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. CESAR A CHILMAZA
Title or Position: DENTIST
Credential: DDS
Phone: 954-675-3742