Individual provider · Type 1 NPI

Ahmed Mansour

Orthodontics and Dentofacial Orthopedics Dentistry · St. Petersburg, FL

NPI number 1689711053 Active

Practice location

3200 4th St N
St. Petersburg, FL 33704-2127

Call (727) 242-8000 Map

Mailing address

330 43rd Ave N
St. Petersburg, FL 33703-4834

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN29761 (FL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry 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 funct…

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About NPI 1689711053

Ahmed Mansour's National Provider Identifier is 1689711053, issued on Feb 1, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 26, 2025.