KIMBERLY A. DETTORI, D.D.S., M.S., P.A.
NPI 1821024522
Dentist - Endodontics in Stuart, FL

Active since June 24, 2006
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 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

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

KIMBERLY A. DETTORI, D.D.S., M.S., P.A. (NPI 1821024522) is a healthcare organization registered as an endodontics in Stuart, Florida and active in the NPI registry since June 2006. The organization lists Kimberly A Dettori, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1821024522
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameKIMBERLY A. DETTORI, D.D.S., M.S., P.A.
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
Fax(772) 221-9107
Organization SubpartNo
Authorized OfficialKimberly A DettoriDentist/owner · (772) 221-3700
Enumeration DateJune 24, 2006
Last NPPES UpdateMarch 18, 2016
NPI 1821024522 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

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

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

Dentist (Endodontics)
903 SE OCEAN BLVD, SUITE 1
STUART, FL 34994

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 A. Dettori, D.D.S., M.S., P.A.'s NPI number?

The NPI number for Kimberly A. Dettori, D.D.S., M.S., P.A. is 1821024522. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Kimberly A. Dettori, D.D.S., M.S., P.A. located?

Kimberly A. Dettori, D.D.S., M.S., P.A. is located at 903 SE Ocean Blvd Suite 1, Stuart, FL 34994. The listed phone number is (772) 221-3700.

What is Kimberly A. Dettori, D.D.S., M.S., P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly A. Dettori, D.D.S., M.S., P.A. was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.