DR. ERIKA SUE PETTINATO (NPI# 1255420642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255420642 |
| Entity Type | Individual |
| Full Name | DR. ERIKA SUE PETTINATO |
| Other Name | DR. ERIKA PETTINATO JAMES |
| Credential | D.M.D., M.S. |
| Practice Address |
14497 N Dale Mabry Hwy Suite 100 Tampa FL 33618-2047 |
| Mailing Address |
5475 Saddlebrook Way Wesley Chapel FL 33543-4339 |
| Practice Telephone | 8132651200 |
| Practice Fax Number | 8132651203 |
| Mailing Telephone | 8138576579 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN19886 | TX | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN14644 | FL | Dental Providers |
| Street Address |
14497 N DALE MABRY HWY SUITE 100 |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302105 | Jessica Bylsma | Behavior Technician | 14497 N Dale Mabry Hwy, Tampa, FL 33618-2047 | 2020-09-30 |
| 1215542204 | Anissa Gallo | Behavior Technician | 14497 N Dale Mabry Hwy, Tampa, FL 33618-2047 | 2020-09-15 |
| 1992322754 | Leslie Yasmeen Flores | Behavioral Analyst | 14497 N Dale Mabry Hwy, Tampa, FL 33618-2047 | 2020-06-28 |
| 1154943967 | Natalie Kitts | Behavior Technician | 14497 N Dale Mabry Hwy, Tampa, FL 33618-2047 | 2020-05-14 |
| 1942846910 | Pressli Champion | Behavior Technician | 14497 N Dale Mabry Hwy, Tampa, FL 33618-2047 | 2019-11-25 |
| 1508426230 | Luis Morales | Behavior Technician | 14497 N Dale Mabry Hwy, Tampa, FL 33618-2047 | 2019-06-14 |
| 1447720420 | Zoya Latif | Behavioral Analyst | 14497 N Dale Mabry Hwy, Tampa, FL 33618-2047 | 2018-12-03 |
| 1073095832 | Barbara Otis | Behavior Technician | 14497 N Dale Mabry Hwy, Tampa, FL 33618-2047 | 2018-08-29 |
| 1720442981 | Cranial Technologies Inc. | Prosthetic/Orthotic Supplier | 14497 N Dale Mabry Hwy, Suite 125n, Tampa, FL 33618-2047 | 2016-04-13 |
| 1629131230 | Frank Carmen Pettinato | Dentist | 14497 N Dale Mabry Hwy, Suite 100, Tampa, FL 33618-2047 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487181541 | Alejandra Nathalie Polanco | Dentist | 10909 W Linebaugh Ave Ste 102, Tampa, FL 33626-1741 | 2017-05-18 |
| 1124497821 | Chelsea Monteleone | Dentist | 3806 W Linebaugh Ave, Tampa, FL 33618-8702 | 2015-09-23 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1689084162 | Christina Makram | Dentist | 13027 W Linebaugh Ave Ste 102, Tampa, FL 33626-4477 | 2014-05-05 |
| 1902242431 | Farnaz Adibi | Dentist | 3942 Britton Plz, Tampa, FL 33611-1408 | 2013-05-10 |
| 1215146493 | Ana Marai Vales | Dentist | 1540 S Dale Mabry Hwy, Tampa, FL 33629-5842 | 2007-05-22 |
| 1407923154 | Dr Duga, Dr Feeney & Associates | Dentist | 15293 Amberly Dr, Tampa, FL 33647 | 2006-11-29 |
| 1043310204 | Dwight E. Sanjuan | Dentist | 6532 Gunn Hwy, Tampa, FL 33625-4022 | 2006-09-25 |
| 1093816928 | Robyn Britt Lesser | Dentist | 6415 Sheldon Rd, Tampa, FL 33615-3102 | 2006-09-25 |
| 1972601920 | Marta M Rivera | Dentist | 5326 Primrose Lake Cir, Tampa, FL 33647-3589 | 2006-09-20 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on DR. ERIKA SUE PETTINATO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.