Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Edward S Mortellaro Jr Dmd PA

Periodontics in Brandon, FL · enumerated 2007 · authorized official Edward Mortellaro, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770700437

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Registry record

Entity type Organization (Type 2)

Legal business name Edward S Mortellaro Jr Dmd PA

Practice address 710 Oakfield Drive, Suite 126, Brandon, FL, 33511

Phone (813) 685-7733

Fax (813) 681-9726

Enumeration date Apr 20, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223P0300X Periodontics Dental Providers · License DN8061 (FL) Primary

Authorized official

Name Edward Mortellaro

Title President

Phone (813) 685-7733

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Edward S Mortellaro Jr Dmd PA located?

The practice location on file with NPPES is in Brandon, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.