DR. MATEO VIDALES


Address: 7700 Lake Wilson Rd, Davenport, FL 33896-9601
Phone: 8634203166

DR. MATEO VIDALES (NPI# 1871086405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871086405
Entity Type Individual
Full Name DR. MATEO VIDALES
Credential DMD
Practice Address 7700 Lake Wilson Rd
Davenport
FL 33896-9601
Mailing Address 1640 Wise Dr
North Port
FL 34286-6830
Practice Telephone 8634203166
Mailing Telephone 9414086601
Enumeration Date 2018-06-08
Last Update Date 2018-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 23425 FL Dental Providers

Office Location

Street Address 7700 LAKE WILSON RD
City DAVENPORT
State FL
Zip Code 33896-9601

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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568005999 Davenport Modern Dentistry, Pa Dentist 1159 Posner Blvd, Davenport, FL 33837-3664 2019-10-17
1740756139 Dague Dental Solutions Dentist 4711 N Brady St Ste 5s, Davenport, IA 52806-3955 2018-10-23
1083105878 Kunmin Roo Dentist 5025 Utica Ridge Rd Ste 103, Davenport, IA 52807-3035 2018-05-29
1902258379 Secure Dental II, LLC Dentist 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 2016-07-08
1891176160 Annissa Michael Dentist 7551 Osceola Polk Line Road, Davenport, FL 33896 2015-06-12
1932517588 Alan Christopher Rubach Dentist 3435 Spring St Ste 2, Davenport, IA 52807 2014-07-28
1821285776 Brian Arthur Mykleby Dentist 2215 E 52nd St Ste 1, Davenport, IA 52807-2786 2007-09-25
1356561047 Valerie Jennings Dentist 4624 Progress Drive, Suite E, Davenport, IA 52807-3490 2007-04-26
1245373737 Monica Foley Dentist 1850 E 53rd St Ste 5, Davenport, IA 52807-2784 2007-02-14
1649341504 Eugene V Mueller Dentist 2228 Hickory Grove Rd, Davenport, IA 52804-2353 2006-11-13
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City DAVENPORT
Zip Code 33896

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Dataset Information

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.

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