Vivian Medina Dds Pa is a Dental Clinic in Tampa, Florida. It is located at 3630 Madaca Ln, Tampa, FL and its contact number is 813-264-0286. The authorized person for Vivian Medina Dds Pa is Dr. Vivian Medina
who is Owner of the clinic and their contact number is 813-264-0286. The primary license number for Vivian Medina Dds Pa is DN12750 (Dentist) in Florida.
Vivian Medina Dds Pa Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Vivian Medina Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Vivian Medina Dds Pa |
| Specialization: | Dentistry |
| Clinic Address: | 3630 Madaca Ln, Tampa,
Florida, 33618-2057 |
| Phone: | 813-264-0286 |
| Fax: | 813-960-4667 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Vivian Medina |
| Position: | Owner |
| Contact Number: | 813-264-0286 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Vivian Medina Dds Pa clinic are as mentioned below.
| NPI Number: | 1316295223 |
| NPI Enumeration Date: | 27 Aug, 2012 |
| NPI Last Update On: | 27 Aug, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vivian Medina Dds Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | DN12750 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Vivian Medina Dds Pa
3630 Madaca Ln,
Tampa, Florida |
| Zip: | 33618-2057 |
| Phone Number: | 813-264-0286 |
| Fax Number: | 813-960-4667 |
Patients can reach Vivian Medina Dds Pa at
3630 Madaca Ln, Tampa, Florida or can
call to book an appointment on 813-264-0286.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.