Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114454915 Individual Practitioner Male Practitioner

Dr. Julio Lara , DDS

Dentist - General Practice • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Dr. Julio Lara, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tampa, FL. Practice services are available at 302 W FLETCHER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

302 W Fletcher Ave

Tampa, FL 336123415

Telephone 8133975305
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
328 Specialists

Practicing in Tampa, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS041693

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
103549337-0001 (PA)

Secondary Practice Locations

110 S 17th St

Harrisburg, PA 171041123

Phone: 7172329971

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1023245982

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 23, 2019

Registered at 302 W FLETCHER AVE, TAMPA, FL 336123415 (Tel: 8133975305)

📍
Updated Business Mailing Address July 23, 2019

Registered at PO BOX 82969, TAMPA, FL 336822969 (Tel: 8138660930)

📍
Updated Practice Location November 02, 2018

Registered at 110 S 17TH ST, HARRISBURG, PA 171041123 (Tel: 7172329971)

📍
Updated Business Mailing Address November 02, 2018

Registered at 110 S 17TH ST, HARRISBURG, PA 171041123 (Tel: 7172329971)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2018

Dentist (License #DS041693 in PA)

NPI Profile Active May 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2017

Registered at 302 W FLETCHER AVE, TAMPA, FL 336123415 (Tel: 8133975305)

📍
Updated Business Mailing Address May 12, 2017

Registered at 302 W FLETCHER AVE, TAMPA, FL 336123415

👤
Provider Name / Credentials Updated May 12, 2017

Recorded as JULIO LARA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114454915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2017
Last Update: July 23, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 82969

Tampa, FL 336822969

Phone: 8138660930

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.