Keyvan Tavakoli, Dds, Mds, P.a.
Orthodontics and Dentofacial Clinic
18964 N Dale Mabry Hwy Ste 103, Lutz
Florida, 33548-4913
813-591-1568 Maps & DirectionsKeyvan Tavakoli, Dds, Mds, P.a. is a Orthodontics and Dentofacial Clinic in Lutz, Florida. It is located at 18964 N Dale Mabry Hwy Ste 103, Lutz, FL and its contact number is 813-591-1568. The authorized person for Keyvan Tavakoli, Dds, Mds, P.a. is Dr. Keyvan Tavakoli
who is President of the clinic and their contact number is 910-922-5707. The primary license number for Keyvan Tavakoli, Dds, Mds, P.a. is DN22487 (Orthodontics and Dentofacial Orthopedics) in Florida.
Keyvan Tavakoli, Dds, Mds, P.a. Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Keyvan Tavakoli, Dds, Mds, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Keyvan Tavakoli, Dds, Mds, P.a. |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 18964 N Dale Mabry Hwy Ste 103, Lutz,
Florida, 33548-4913 |
| Phone: | 813-591-1568 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Keyvan Tavakoli |
| Position: | President |
| Contact Number: | 910-922-5707 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Keyvan Tavakoli, Dds, Mds, P.a. clinic are as mentioned below.
| NPI Number: | 1003345802 |
| NPI Enumeration Date: | 06 Jun, 2017 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keyvan Tavakoli, Dds, Mds, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | DN22487 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Keyvan Tavakoli, Dds, Mds, P.a.
18964 N Dale Mabry Hwy Ste 103,
Lutz, Florida |
| Zip: | 33548-4913 |
| Phone Number: | 813-591-1568 |
Patients can reach Keyvan Tavakoli, Dds, Mds, P.a. at
18964 N Dale Mabry Hwy Ste 103, Lutz, Florida or can
call to book an appointment on 813-591-1568.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.