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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.