Dustin Dedomenico is a Tampa, Florida based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dustin Dedomenico is
DN20727 for Pediatric Dentistry in Florida. His current practice location is
11012 N Dale Mabry Hwy Ste 302, Tampa. Patients can reach him at
813-961-1414.
Dustin Dedomenico is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dustin Dedomenico speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dustin Dedomenico |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD MS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 11012 N Dale Mabry Hwy Ste 302, Tampa,
Florida, 33618-3821 |
| Phone: | 813-961-1414 |
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 are as mentioned below.
| NPI Number: | 1902224975 |
| NPI Enumeration Date: | 07 Apr, 2014 |
| NPI Last Update On: | 24 Sep, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dustin Dedomenico are as mentioned below.
| License Number | Specialization | State | Status | |
| DN20727 | Pediatric Dentistry | Florida | Primary | |
| KY 9443 | Dentistry | Kentucky | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11012 N Dale Mabry Hwy Ste 302,
Tampa, Florida |
| Zip: | 33618-3821 |
| Phone Number: | 813-961-1414 |
Patients can reach Dustin Dedomenico at
11012 N Dale Mabry Hwy Ste 302, Tampa, Florida or can
call to book an appointment on 813-961-1414.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.