=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104730316
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DEF RIVERVIEW PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2026
-----------------------------------------------------
Last Update Date | 10/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10454 STELLING DR
-----------------------------------------------------
City | RIVERVIEW
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33578-7545
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-458-0257
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10454 STELLING DR
-----------------------------------------------------
City | RIVERVIEW
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33578-7545
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-458-0257
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSINESS MANAGER
-----------------------------------------------------
Name | EMTEYAZ ASKER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 813-458-0257
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------