DR. MARY TERESA GUNNING PRENDIVILLE D.D.S.
NPI 1992086771
Dentist - General Practice in Bartow, FL

Q: What is Mary Teresa Prendiville's NPI number?

The NPI number for Mary Teresa Prendiville is 1992086771. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Q: What is Mary Teresa Prendiville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 07, 2011PECOS Enrolled

1495 E MAIN ST, BARTOW, FL 33830(863) 533-0324 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Jul 21, 2022, Apr 5, 2020 and 1 more (4 updates tracked since 2017).

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About Dr. Mary Teresa Gunning Prendiville D.d.s. NPPES

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

DR. MARY TERESA GUNNING PRENDIVILLE D.D.S. (NPI 1992086771) is an individual general practice provider in Bartow, Florida, licensed in Florida (DN20902) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992086771

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARY TERESA GUNNING PRENDIVILLECredential: D.D.S.

Location Address1495 E MAIN STBartow, FL 33830-5202

Mailing Address1407 Plantation Cir Apt 305Plant City, FL 33566-1508 · (305) 972-4887

Phone(863) 533-0324

Sole ProprietorYes

Enumeration DateSeptember 7, 2011

Last NPPES UpdateFebruary 19, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1992086771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN20902

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1495 E MAIN ST, Bartow, FL 33830

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Teresa Gunning Prendiville D.d.s. 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 33830 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 2

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

PRENDIVILLE DDS PLLC

Clinic/Center (Dental)

1495 E MAIN ST
BARTOW, FL 33830

Polk County (863) 533-0324

MRS. LINDA JUDY MAY DDS

Dentist (General Practice)

1495 E MAIN ST
BARTOW, FL 33830

Polk County (863) 533-0324

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 Mary Teresa Prendiville's NPI number?

The NPI number for Mary Teresa Prendiville is 1992086771. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Where is Mary Teresa Prendiville located?

Mary Teresa Prendiville practices at 1495 E Main St, Bartow, FL 33830. The listed phone number is (863) 533-0324.

What is Mary Teresa Prendiville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mary Teresa Prendiville enrolled in Medicare?

Yes. Mary Teresa Prendiville is registered in the Medicare PECOS enrollment system.

What insurance does Mary Teresa Prendiville accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 13 other insurers list Mary Teresa Prendiville 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 Mary Teresa Prendiville was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.