Dr. Miguel Angel Lopez Jr., DMD
Dentist, General Practice in Tampa, FL. Individual provider (NPI-1).
NPI number1396830592
StatusActive
Last updated in NPPESMar 27, 2025
Details
- NPI
- 1396830592
- Entity type
- Individual (NPI-1)
- Name
- Dr. Miguel Angel Lopez Jr.
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Certification date
- Mar 27, 2025
- Last updated
- Mar 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN13114 | FL | Yes |
Other names
- Miguel A Lopez (Other Name)
Practice location
3131 N Boulevard Ste ATampa, FL 33603-5527
Phone 813-229-7427 · Fax 813-669-5478
Mailing address
3131 N Boulevard Ste ATampa, FL 33603-5527
Phone 813-229-7427 · Fax 813-669-5478
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