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

M.D.M. OF ELLENTON P.A.

Active Organization

M.D.M. OF ELLENTON P.A. is a Dentist organization located in ELLENTON, Florida. NPI 1558779918 is currently active in the NPPES registry. Verify at CMS.

Dentist · ELLENTON, FL

Registration Details

NPI Number
1558779918
Provider Type
Organization
NPI Issued
Jul 30, 2014 (12.041061156641 yrs)
Last Updated
Jul 30, 2014
License
DN18829 (FL)

Practice Information

Address
5975 FACTORY SHOPS BLVD
ELLENTON, FL, 342224125
Browse FL providers · Browse ZIP 34222
Phone
9412542300
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in ELLENTON, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.