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Active NPI 1265441125 Individual Practitioner Male Practitioner

Dr. Sergio Max Lopez , DDS

Dentist - General Practice • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Dr. Sergio Lopez, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tampa, FL. Practice services are available at 3102 W WATERS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3102 W Waters Ave
Suite 101

Tampa, FL 336142882

Telephone 8133742441
Fax 8135132925
Associated Practice Facility / Clinic
🏢 Comprehensive Home Care Of Hillsborough, Llc Facility NPI 1184661993

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 FL 18229

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
013389200 (FL)
Medicaid State Provider ID
007861100 (FL)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2016

Registered at 3102 W WATERS AVE, SUITE 101, TAMPA, FL 336142882 (Tel: 8133742441)

📍
Updated Business Mailing Address July 18, 2016

Registered at 3102 W WATERS AVE, SUITE 101, TAMPA, FL 336142882 (Tel: 8133742441)

👤
Provider Name / Credentials Updated July 18, 2016

Recorded as SERGIO LOPEZ, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Dentist (License #18229 in FL)

🟢
Initial NPI Registration & Enumeration August 07, 2006

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: 1265441125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2006
Last Update: July 18, 2016
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

3102 W Waters Ave, Suite 101

Tampa, FL 336142882

Phone: 8133742441

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.