DUSTIN DEDOMENICO DMD MS
NPI 1902224975
Dentist - Pediatric Dentistry in Tampa, FL

Q: What is Dustin Dedomenico's NPI number?

The NPI number for Dustin Dedomenico is 1902224975. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Q: What is Dustin Dedomenico's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Dedomenico was last updated on September 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 07, 2014

11012 N DALE MABRY HWY STE 302, TAMPA, FL 33618(813) 961-1414 Get Directions Write a Review

NPPES record last updated: September 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dustin Dedomenico Dmd Ms NPPES

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

DUSTIN DEDOMENICO DMD MS (NPI 1902224975) is an individual pediatric dentistry provider in Tampa, Florida, licensed in Florida (DN20727) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1902224975

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDUSTIN DEDOMENICOCredential: DMD MS

Location Address11012 N DALE MABRY HWY STE 302Tampa, FL 33618-3821

Mailing Address11012 N Dale Mabry Hwy Ste 302Tampa, FL 33618-3821 · (813) 961-1414

Phone(813) 961-1414

Sole ProprietorYes

Enumeration DateApril 7, 2014

Last NPPES UpdateSeptember 24, 2016

✔ NPI 1902224975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in FL · DN20727

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License KY 9443 (KY)

11012 N DALE MABRY HWY STE 302, Tampa, FL 33618

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 Dustin Dedomenico's NPI number?

The NPI number for Dustin Dedomenico is 1902224975. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Dustin Dedomenico located?

Dustin Dedomenico practices at 11012 N Dale Mabry Hwy Ste 302, Tampa, FL 33618. The listed phone number is (813) 961-1414.

What is Dustin Dedomenico's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Dustin Dedomenico accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 6 other insurers list Dustin Dedomenico 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 Dustin Dedomenico was last updated on September 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.