Individual provider · Type 1 NPI

Ralph J. Dedomenico, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Tampa, FL

NPI number 1770613663 Active

Practice location

11012 N Dale Mabry Hwy
Tampa, FL 33618

Fax (813) 961-6595

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X4377 (KY)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X6333 (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 1770613663

Ralph J. Dedomenico, DMD's National Provider Identifier is 1770613663, issued on Mar 7, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.