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DR. MATEO VIDALES DMD
NPI 1871086405
Dentist in Davenport, FL

Active since June 08, 2018
7700 LAKE WILSON RD, DAVENPORT, FL 33896(863) 420-3166 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mateo Vidales Dmd NPPES

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

DR. MATEO VIDALES DMD (NPI 1871086405) is an individual dentist in Davenport, Florida, licensed in Florida (23425) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1871086405
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MATEO VIDALESCredential: DMD
Location Address7700 LAKE WILSON RDDavenport, FL 33896-9601
Mailing Address1640 Wise DrNorth Port, FL 34286-6830 · (941) 408-6601
Phone(863) 420-3166
Sole ProprietorNo
Enumeration DateJune 8, 2018
✔ NPI 1871086405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 23425
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.
7700 LAKE WILSON RD, Davenport, FL 33896
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

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 Mateo Vidales's NPI number?

The NPI number for Mateo Vidales is 1871086405. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Mateo Vidales located?

Mateo Vidales practices at 7700 Lake Wilson Rd, Davenport, FL 33896. The listed phone number is (863) 420-3166.

What is Mateo Vidales's specialty?

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

What insurance does Mateo Vidales accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 13 other insurers list Mateo Vidales 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 Mateo Vidales was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.