MARIO MAMDOUH TOMA DMD
NPI 1508753773
Dentist in Port Orange, FL

Active since June 20, 2025
4904 CLYDE MORRIS BLVD, PORT ORANGE, FL 32129(386) 202-1278 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Jun 20, 2025 (2 updates tracked since 2025).

About Mario Mamdouh Toma Dmd NPPES

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

MARIO MAMDOUH TOMA DMD (NPI 1508753773) is an individual dentist in Port Orange, Florida, licensed in Florida (30292) and active in the NPI registry since June 2025. He maintains a secondary practice location in Port Orange.

NPPES Registry Identity

NPI1508753773
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARIO MAMDOUH TOMACredential: DMD
Location Address4904 CLYDE MORRIS BLVDPort Orange, FL 32129-4170
Mailing Address5315 Cordgrass Bend LnPort Orange, FL 32128-3000 · (386) 316-4217
Sole ProprietorNo
Enumeration DateJune 20, 2025
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1508753773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in FL · 30292
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.
4904 CLYDE MORRIS BLVD, Port Orange, FL 32129

Secondary Practice Location 1

Location 15315 Cordgrass Bend LnPort Orange, FL 32128-3000 · Phone (386) 316-4217

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
4904 CLYDE MORRIS BLVD
PORT ORANGE, FL 32129

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 Mario Toma's NPI number?

The NPI number for Mario Toma is 1508753773. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Where is Mario Toma located?

Mario Toma practices at 4904 Clyde Morris Blvd, Port Orange, FL 32129. The listed phone number is (386) 202-1278.

What is Mario Toma's specialty?

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

What insurance does Mario Toma accept?

Health plans from BEST Life, Delta Dental, Dominion National, Guardian and Humana list Mario Toma 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 Mario Toma was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.