Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deep Roots Dental and Facial Asethetics LLC

Organization Dental Clinic/Center · NPI 1376350082

Deep Roots Dental and Facial Asethetics LLC is a Dental Clinic/Center in Lutz, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3013 Allegra Way
Lutz, FL 33559-6997
Phone: (813) 839-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1376350082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marnie Bauer — Owner · (813) 839-2273
Other names Deep Roots Dental And Facial Asethetics Llc
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address4509 W Culbreath Ave, Tampa, FL 33609-4205

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