Organization · Type 2 NPI

M.d.m. of Ellenton P.a.

Dentist · Ellenton, FL

NPI number 1558779918 Active

Practice location

5975 Factory Shops Blvd
Ellenton, FL 34222-4125

Mailing address

701 S Howard Ave, Ste 106-386
Tampa, FL 33606-2473

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN18829 (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…

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About NPI 1558779918

M.d.m. of Ellenton P.a.'s National Provider Identifier is 1558779918, issued on Jul 30, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Ellenton, FL. The record was last updated on Jul 30, 2014.