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VIVIAN MEDINA DDS PA
NPI 1316295223
Dentist in Tampa, FL

Active since August 27, 2012
3630 MADACA LN, TAMPA, FL 33618(813) 264-0286(813) 960-4667 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vivian Medina Dds Pa NPPES

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

VIVIAN MEDINA DDS PA (NPI 1316295223) is a healthcare organization registered as a dentist in Tampa, Florida and active in the NPI registry since August 2012. The organization lists Vivian Medina, Owner, as its authorized official.

NPPES Registry Identity

NPI1316295223
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameVIVIAN MEDINA DDS PA
Location Address3630 MADACA LNTampa, FL 33618-2057
Mailing Address3630 Madaca LnTampa, FL 33618-2057 · (813) 264-0286 · Fax (813) 960-4667
Phone(813) 264-0286
Fax(813) 960-4667
Organization SubpartNo
Authorized OfficialVivian MedinaOwner · (813) 264-0286
Enumeration DateAugust 27, 2012
✔ NPI 1316295223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN12750
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3630 MADACA LN, Tampa, FL 33618
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. VIVIAN MEDINA D.D.S.
Dentist (General Practice)
3630 MADACA LN
TAMPA, FL 33618
Hillsborough County (813) 264-0286
RESTORATIVE SLEEP SOLUTIONS
Durable Medical Equipment & Medical Supplies
3630 MADACA LN
TAMPA, FL 33618
Hillsborough County (813) 264-0286

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 Vivian Medina Dds PA's NPI number?

The NPI number for Vivian Medina Dds PA is 1316295223. It was assigned to this organization in the NPPES registry on August 27, 2012.

Where is Vivian Medina Dds PA located?

Vivian Medina Dds PA is located at 3630 Madaca Ln, Tampa, FL 33618. The listed phone number is (813) 264-0286.

What is Vivian Medina Dds PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Vivian Medina Dds PA was last updated on August 27, 2012. 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.