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EDWARD S MORTELLARO JR DMD PA
NPI 1770700437
Dentist - Periodontics in Brandon, FL

Active since April 20, 2007
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL 33511(813) 685-7733(813) 681-9726 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward S Mortellaro Jr Dmd Pa NPPES

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

EDWARD S MORTELLARO JR DMD PA (NPI 1770700437) is a healthcare organization registered as a periodontics in Brandon, Florida and active in the NPI registry since April 2007. The organization lists Edward S Mortellaro, President, as its authorized official.

NPPES Registry Identity

NPI1770700437
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameEDWARD S MORTELLARO JR DMD PA
Location Address710 OAKFIELD DRIVE, SUITE 126Brandon, FL 33511-4907
Mailing Address710 Oakfield Drive, Suite 126Brandon, FL 33511-4907 · (813) 685-7733 · Fax (813) 681-9726
Phone(813) 685-7733
Fax(813) 681-9726
Organization SubpartNo
Authorized OfficialEdward S MortellaroPresident · (813) 685-7733
Enumeration DateApril 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770700437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN8061
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 DRIVE, Brandon, FL 33511
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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

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 S Mortellaro Jr Dmd PA's NPI number?

The NPI number for Edward S Mortellaro Jr Dmd PA is 1770700437. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Edward S Mortellaro Jr Dmd PA located?

Edward S Mortellaro Jr Dmd PA is located at 710 Oakfield Drive Suite 126, Brandon, FL 33511. The listed phone number is (813) 685-7733.

What is Edward S Mortellaro Jr Dmd PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Edward S Mortellaro Jr Dmd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.