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

M.d.m. of Ellenton PA

Organization Dentist · NPI 1558779918

M.d.m. of Ellenton PA provides Dentist services in Ellenton, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
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

5975 Factory Shops Blvd
Ellenton, FL 34222-4125 Not confirmed with CMS for 12 years — call before visiting
Phone: (941) 254-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN18829 (FL)

Record details

NPI number1558779918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Martin — President · (941) 254-2300
NPI enumeratedJuly 30, 2014
Last updated in NPPESJuly 30, 2014
Mailing address701 S Howard Ave, Ste 106-386, Tampa, FL 33606-2473

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