Provider Demographics
NPI:1619545944
Name:FRANCISCO H BEZERRA DDS PA
Entity Type:Organization
Organization Name:FRANCISCO H BEZERRA DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:H
Authorized Official - Last Name:BEZERRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:813-991-5300
Mailing Address - Street 1:2242 ASHLEY OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6404
Mailing Address - Country:US
Mailing Address - Phone:813-991-5300
Mailing Address - Fax:888-520-4252
Practice Address - Street 1:6935 LAND O LAKES BLVD
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-3231
Practice Address - Country:US
Practice Address - Phone:813-530-3300
Practice Address - Fax:855-820-1235
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. BEE PEDIATRIC DENTISTRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty