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VIDALES DENTAL CORP
NPI 1780466011
Dentist in Lakeland, FL

Active since October 20, 2023
6958 SHIMMERING DR, LAKELAND, FL 33813(813) 818-8056 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vidales Dental Corp NPPES

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

VIDALES DENTAL CORP (NPI 1780466011) is a healthcare organization registered as a dentist in Lakeland, Florida and active in the NPI registry since October 2023. The organization lists Mateo Vidales, Owner, as its authorized official.

NPPES Registry Identity

NPI1780466011
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameVIDALES DENTAL CORP
Location Address6958 SHIMMERING DRLakeland, FL 33813-3331
Mailing Address6958 Shimmering DrLakeland, FL 33813-3331 · (813) 818-8056
Phone(813) 818-8056
Organization SubpartNo
Authorized OfficialMateo VidalesOwner · (863) 225-5600
Enumeration DateOctober 20, 2023
NPPES CertifiedOctober 20, 2023
✔ NPI 1780466011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
6958 SHIMMERING DR, Lakeland, FL 33813
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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.

SHIMMERING DENTAL
Dentist
6958 SHIMMERING DR
LAKELAND, FL 33813
Polk County (863) 225-5600
DR. EDWARD J WILLIAMS DMD
Dentist (General Practice)
6958 SHIMMERING DR
LAKELAND, FL 33813
Polk County (863) 646-2989

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 Vidales Dental Corp's NPI number?

The NPI number for Vidales Dental Corp is 1780466011. It was assigned to this organization in the NPPES registry on October 20, 2023.

Where is Vidales Dental Corp located?

Vidales Dental Corp is located at 6958 Shimmering Dr, Lakeland, FL 33813. The listed phone number is (813) 818-8056.

What is Vidales Dental Corp'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 Vidales Dental Corp was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.