IndividualActive
Subanitha Elan, DDS
NPI 1255876017 · General Practice Dentistry · Lutz, FL
Provider details
- NPI number
- 1255876017
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- DS042006 (PA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1212 E Bearss Ave
Lutz, FL 33549-3525
Phone: (813) 397-5300
Fax: (813) 324-1643
Street-level locationGet directions
Mailing address
Po Box 82969
Tampa, FL 33682-2969
Additional practice locations (3)
- 702 Jasmine WayClearwater, FL 33756-4086Phone: (727) 824-8181
- 2854 John F Kennedy BlvdApt 912Jersey City, NJ 07306-4014Phone: (980) 422-4707
- 404 Middletown Blvd Ste 300Langhorne, PA 19047-1897Phone: (980) 422-4707
Registry dates
- Enumerated
- 2017-01-03
- Last updated
- 2022-11-16
- Certified
- 2022-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.