Individual provider · Type 1 NPI

Marielys Janice Rodriguez Distasi, DMD

Dentist · Riverview, FL

NPI number 1760173777 Active

Practice location

10672 Bloomingdale Ave Unit 102
Riverview, FL 33578-4291

Mailing address

14864 Summer Branch Dr
Lithia, FL 33547-5130

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X30649 (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 1760173777

Marielys Janice Rodriguez Distasi, DMD's National Provider Identifier is 1760173777, issued on May 19, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Riverview, FL. The record was last updated on Apr 8, 2026.