MEDICARE: DR. ROBYN BRITT LESSER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	DN15575	FL

General Provider Information

NPI Number	:	1093816928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBYN BRITT LESSER DMD

Provider Business Mailing Address
First Line	:	6415 SHELDON RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3102
Country	:	US
Telephone Number	:	813-880-0100
Fax Number	:	813-880-0111

Provider Business Practice Location Address
First Line	:	6415 SHELDON RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3102
Country	:	US
Telephone Number	:	813-880-0100
Fax Number	:	813-880-0111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	05/22/2008

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