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KIMBERLY A. DETTORI D.D.S., M.S.
NPI 1730118829
Dentist - Endodontics in Stuart, FL

Active since July 01, 2006PECOS Enrolled
903 SE OCEAN BLVD, SUITE 1, STUART, FL 34994(772) 221-3700(772) 221-9107 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2016, Feb 26, 2016 (2 updates tracked since 2016).

About Kimberly A. Dettori D.d.s., M.s. NPPES

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

KIMBERLY A. DETTORI D.D.S., M.S. (NPI 1730118829) is an individual endodontics provider in Stuart, Florida, licensed in Florida (DN12143) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730118829
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameKIMBERLY A. DETTORICredential: D.D.S., M.S.
Location Address903 SE OCEAN BLVD, SUITE 1Stuart, FL 34994-2475
Mailing Address903 Se Ocean Blvd, Suite 1Stuart, FL 34994-2475 · (772) 221-3700 · Fax (772) 221-9107
Phone(772) 221-3700
Fax(772) 221-9107
Sole ProprietorYes
Enumeration DateJuly 1, 2006
Last NPPES UpdateMarch 4, 20162 updates tracked since enumeration
✔ NPI 1730118829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in FL · DN12143
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
903 SE OCEAN BLVD, Stuart, FL 34994
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly A. Dettori D.d.s., M.s. 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 34994 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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

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

KIMBERLY A. DETTORI, D.D.S., M.S., P.A.
Dentist (Endodontics)
903 SE OCEAN BLVD, SUITE 1
STUART, FL 34994
Martin County (772) 221-3700

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 Kimberly Dettori's NPI number?

The NPI number for Kimberly Dettori is 1730118829. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Kimberly Dettori located?

Kimberly Dettori practices at 903 SE Ocean Blvd Suite 1, Stuart, FL 34994. The listed phone number is (772) 221-3700.

What is Kimberly Dettori's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Kimberly Dettori enrolled in Medicare?

Yes. Kimberly Dettori is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Dettori was last updated on March 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.