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

Fishhawk Modern Dentistry, PA

Organization Dentist · NPI 1730726506

Fishhawk Modern Dentistry, PA is a Dentist in Lithia, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16509 Fishhawk Blvd
Lithia, FL 33547-3835
Phone: (813) 563-8108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1730726506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katie McCann Lee — Owner/Gp · (813) 563-8108
Other names Fishhawk Modern Dentistry; Fishhawk Modern Dentistry
NPI enumeratedNovember 29, 2019
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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