Provider Demographics
NPI:1225272446
Name:ASMA R. AKILEH D.D.S., PA
Entity Type:Organization
Organization Name:ASMA R. AKILEH D.D.S., PA
Other - Org Name:TAMPA DENTAL SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:R
Authorized Official - Last Name:AKILEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-868-9999
Mailing Address - Street 1:13375 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-1161
Mailing Address - Country:US
Mailing Address - Phone:813-868-9999
Mailing Address - Fax:
Practice Address - Street 1:13375 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-1161
Practice Address - Country:US
Practice Address - Phone:813-868-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN13021122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty