Individual provider · Type 1 NPI

Mateo Vidales, DMD

Dentist · Davenport, FL

NPI number 1871086405 Active

Practice location

7700 Lake Wilson Rd
Davenport, FL 33896-9601

Mailing address

1640 Wise Dr
North Port, FL 34286-6830

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X23425 (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 1871086405

Mateo Vidales, DMD's National Provider Identifier is 1871086405, issued on Jun 8, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Davenport, FL. The record was last updated on Jun 8, 2018.