Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Edward S Mortellaro Jr DMD PA

Organization Periodontics · NPI 1770700437

Edward S Mortellaro Jr DMD PA provides Periodontics in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

710 Oakfield Dr Ste 126
Brandon, FL 33511-4907
Phone: (813) 685-7733
Fax: (813) 681-9726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN8061 (FL)

Record details

NPI number1770700437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Mortellaro — President · (813) 685-7733
NPI enumeratedApril 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address710 Oakfield Drive, Suite 126, Brandon, FL 33511-4907

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