Dr. Michael P Dimauro, DDS PA
Dentist, Pediatric Dentistry in Orlando, FL. Individual provider (NPI-1).
NPI number1164563524
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164563524
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael P Dimauro
- Credential
- DDS PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | DN11960 | FL | Yes |
Practice location
7350 Sandlake Commons Blvd#1130
Orlando, FL 32819
Phone 407-352-4800 · Fax 407-352-8008
Mailing address
7350 Sandlake Commons Blvd#1130
Orlando, FL 32819
Phone 407-352-4800 · Fax 407-352-8008
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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