Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD SALVATORE MORTELLARO JR., DMD

Active Sole Proprietor

DR. EDWARD SALVATORE MORTELLARO JR., DMD is a Periodontology healthcare provider located in BRANDON, Florida. NPI 1194068544 is currently active in the NPPES registry. Verify at CMS.

Periodontology · BRANDON, FL

Registration Details

NPI Number: 1194068544
Provider Type: Individual
Gender: Male
NPI Issued: Apr 4, 2013 (13.330370008515 yrs)
Last Updated: Apr 4, 2013
License: DN 8061 (FL)
Sole Proprietor: Yes

Practice Information

Address: 710 OAKFIELD DR

SUITE 126

BRANDON, FL, 335114938
Browse FL providers · Browse ZIP 33511
Phone: 8136857733
Fax: 8136819723
Primary Specialty: Periodontology
1223P0300X

Other Periodontology Providers in BRANDON, FL

Name	Credential	NPI
DR. DOUGLAS C WENDT JR.	D.D.S.	1407877400
DR. RUBEN FERNANDO MESIA	DDS, MS	1245499334
DR. DMITRY BARON	DDS	1679705131

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.