Individual provider · Type 1 NPI

Lori Marie Degaetano, DDS

Dentist · Bredenton, FL

NPI number 1306015599 Active

Practice location

Lecom, 4800 Lakewood Ranch Blvd.
Bredenton, FL 34211

Fax (727) 398-6838

Mailing address

17615 Esprit Dr, Suite 301
Tampa, FL 33647

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN0011054 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

About NPI 1306015599

Lori Marie Degaetano, DDS's National Provider Identifier is 1306015599, issued on Feb 21, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bredenton, FL. The record was last updated on Jan 6, 2026.