Individual provider · Type 1 NPI
Edward Salvatore Mortellaro Jr., DMD
Periodontics · Brandon, FL
NPI number
1194068544
Active
Practice location
710 Oakfield Dr, Suite 126
Brandon, FL 33511-4938
Fax (813) 681-9723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DN 8061 (FL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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Other periodontics providers in Brandon
About NPI 1194068544
Edward Salvatore Mortellaro Jr., DMD's National Provider Identifier is 1194068544, issued on Apr 4, 2013. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Brandon, FL. The record was last updated on Apr 4, 2013.