Organization · Type 2 NPI
Edward S Mortellaro JR DMD PA
Periodontics · Brandon, FL
NPI number
1770700437
Active
Practice location
710 Oakfield Drive, Suite 126
Brandon, FL 33511-4907
Fax (813) 681-9726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DN8061 (FL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Brandon
About NPI 1770700437
Edward S Mortellaro JR DMD PA's National Provider Identifier is 1770700437, issued on Apr 20, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Brandon, FL. The record was last updated on Aug 22, 2020.