Healthcare Provider Details

I. General information

NPI: 1497161152
Provider Name (Legal Business Name): LINDSEY PIKOS ROSATI D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8740 MITCHELL BLVD
TRINITY FL
34655-4400
US

IV. Provider business mailing address

1286 PLAYMOOR DR
PALM HARBOR FL
34683-1471
US

V. Phone/Fax

Practice location:
  • Phone: 727-807-0011
  • Fax:
Mailing address:
  • Phone: 727-420-0613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN 20578
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: