Provider Demographics
NPI:1861281933
Name:TODO DENTISTRY LLC
Entity type:Organization
Organization Name:TODO DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:727-900-7171
Mailing Address - Street 1:831 N HERCULES AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2024
Mailing Address - Country:US
Mailing Address - Phone:727-900-7171
Mailing Address - Fax:727-900-7172
Practice Address - Street 1:831 N HERCULES AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2024
Practice Address - Country:US
Practice Address - Phone:727-900-7171
Practice Address - Fax:727-900-7172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental