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DR. EDWARD SALVATORE MORTELLARO JR. DMD
NPI 1194068544
Dentist - Periodontics in Brandon, FL

Active since April 04, 2013PECOS Enrolled
710 OAKFIELD DR, SUITE 126, BRANDON, FL 33511(813) 685-7733(813) 681-9723 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edward Salvatore Mortellaro Jr. Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD SALVATORE MORTELLARO JR. DMD (NPI 1194068544) is an individual periodontics provider in Brandon, Florida, licensed in Florida (DN 8061) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194068544
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. EDWARD SALVATORE MORTELLARO JR.Credential: DMD
Location Address710 OAKFIELD DR, SUITE 126Brandon, FL 33511-4938
Mailing Address710 Oakfield Dr, Suite 126Brandon, FL 33511-4938 · (813) 685-7733 · Fax (813) 681-9723
Phone(813) 685-7733
Fax(813) 681-9723
Sole ProprietorYes
Enumeration DateApril 4, 2013
✔ NPI 1194068544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN 8061
Definition
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.
710 OAKFIELD DR, Brandon, FL 33511
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental, Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Salvatore Mortellaro Jr. Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TROY P NOONAN M.D.
Specialist
710 OAKFIELD DR, STE 261
BRANDON, FL 33511
Hillsborough County (813) 657-7022
CLARKE COUNSELING AND PSYCHOLOGICAL SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
710 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 445-8575
DR. ERIN MARIE SMITH PSY.D.
Psychologist (Clinical)
710 OAKFIELD DR, SUITE 159
BRANDON, FL 33511
Hillsborough County (813) 541-4427
ACUPUNCTURE AND NATURAL MEDICINE LLC
Acupuncturist
710 OAKFIELD DR, SUITE 204
BRANDON, FL 33511
Hillsborough County (813) 407-0147
MAINSTAY HOME HEALTH LLC
Home Health
710 OAKFIELD DR, STE 263
BRANDON, FL 33511
Hillsborough County (813) 689-6800
DR. GARIN DOUGLAS VICK PSY.D.
Psychologist (Clinical)
710 OAKFIELD DR, SUITE 261
BRANDON, FL 33511
Hillsborough County (813) 689-2525
MILES ANDERSON PTA
Physical Therapy Assistant
710 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (888) 699-5242
LAURA DANSER LMFT, LSATP
Marriage & Family Therapist
710 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (757) 240-3724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Mortellaro's NPI number?

The NPI number for Edward Mortellaro is 1194068544. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Edward Mortellaro located?

Edward Mortellaro practices at 710 Oakfield Dr Suite 126, Brandon, FL 33511. The listed phone number is (813) 685-7733.

What is Edward Mortellaro's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Edward Mortellaro enrolled in Medicare?

Yes. Edward Mortellaro is registered in the Medicare PECOS enrollment system.

What insurance does Edward Mortellaro accept?

Health plans from Delta Dental and Humana list Edward Mortellaro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Mortellaro was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.