Organization
ARTISTIC SMILES OF TAMPA BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY S IMHOFF DMD (PRESIDENT)
(813) 989-2775
Entity
Organization
Contact information
Practice address
11412 N 56TH ST, TEMPLE TERRACE, FL 33617-2237
(813) 989-2775
(813) 985-5980
Mailing address
11412 N 56TH ST, TEMPLE TERRACE, FL 33617-2237
(813) 989-2775
(813) 985-5980
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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