Provider Demographics
NPI:1386020154
Name:AMIT B. DOSHI DMD P.A.
Entity Type:Organization
Organization Name:AMIT B. DOSHI DMD P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:B
Authorized Official - Last Name:DOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-623-1014
Mailing Address - Street 1:5811 E BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-2813
Mailing Address - Country:US
Mailing Address - Phone:813-623-1014
Mailing Address - Fax:813-620-3863
Practice Address - Street 1:5811 E BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-2813
Practice Address - Country:US
Practice Address - Phone:813-623-1014
Practice Address - Fax:813-620-3863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty