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MITCHELL PERSENAIRE DMD
NPI 1922485507
Dentist - Prosthodontics in Tampa, FL

Active since May 02, 2015PECOS Enrolled
3341 W FLETCHER AVE, TAMPA, FL 33618(813) 295-7656(813) 219-8988 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2026, Feb 18, 2021, Sep 20, 2018 and 1 more (4 updates tracked since 2018).

About Mitchell Persenaire Dmd NPPES

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

MITCHELL PERSENAIRE DMD (NPI 1922485507) is an individual prosthodontics provider in Tampa, Florida, licensed in Florida (DN28171) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922485507
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameMITCHELL PERSENAIRECredential: DMD
Location Address3341 W FLETCHER AVETampa, FL 33618-2810
Mailing Address3341 W Fletcher AveTampa, FL 33618-2810 · (813) 295-7656 · Fax (813) 219-8988
Phone(813) 295-7656
Fax(813) 219-8988
Sole ProprietorYes
Enumeration DateMay 2, 2015
Last NPPES UpdateApril 24, 20264 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1922485507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in FL · DN28171
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
3341 W FLETCHER AVE, Tampa, FL 33618
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Persenaire Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

PREMIER DENTAL IMPLANTS AND PROSTHODONTICS PLLC
Dentist (Prosthodontics)
3341 W FLETCHER AVE
TAMPA, FL 33618
Hillsborough County (813) 295-7656

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 Mitchell Persenaire's NPI number?

The NPI number for Mitchell Persenaire is 1922485507. It was assigned to this individual provider in the NPPES registry on May 2, 2015.

Where is Mitchell Persenaire located?

Mitchell Persenaire practices at 3341 W Fletcher Ave, Tampa, FL 33618. The listed phone number is (813) 295-7656.

What is Mitchell Persenaire's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Mitchell Persenaire enrolled in Medicare?

Yes. Mitchell Persenaire is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitchell Persenaire was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.