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NPI Code Detail

MEDICARE: ANNA ELIZABETH DENTAL LLC

MEDICARE: ANNA ELIZABETH DENTAL LLC
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1467314922
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANNA ELIZABETH DENTAL LLC
Provider Business Mailing Address
First Line : 5420 WEBB RD STE A1
Second Line :
City : TAMPA
State : FL
Zip : 33615-3255
Country : US
Telephone Number : 813-886-1709
Fax Number : 727-499-9821
Provider Business Practice Location Address
First Line : 5420 WEBB RD STE A1
Second Line :
City : TAMPA
State : FL
Zip : 33615-3255
Country : US
Telephone Number : 813-886-1709
Fax Number : 727-499-9821
Authorized Official
Title or Position : OWNER / DENTIST
Name : DR. ANNA HILL-MOSES
Credential : DDS
Telephone Number : 813-886-1709
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ANNA ELIZABETH DENTAL LLC ” Practice Location

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