Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEYVAN TAVAKOLI, D.D.S.
ActiveKEYVAN TAVAKOLI, D.D.S. is a Orthodontics healthcare provider located in LUTZ, Florida. NPI 1285987206 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · LUTZ, FL
Registration Details
- NPI Number
- 1285987206
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2012 (13.866583852881 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
056001 (NY)100032 (CA)32856 (TX)10615 (NC)22487 (FL)
Practice Information
- Address
-
18964 N DALE MABRY HWY STE 103LUTZ, FL, 335484913Browse FL providers · Browse ZIP 33548
- Phone
- 8135911568
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
- Additional Specialty
- Orthodontics
- Additional Specialty
- Orthodontics
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in LUTZ, FL
| Name | Credential | NPI |
|---|---|---|
| DR. BRIAN W THOMAS | DMD, MS | 1528198769 |
| DR. ISIS EL GHANNAM | DDS | 1316487531 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.