Provider Demographics
NPI:1851653778
Name:DENTAL HEALTH EXPERTS
Entity Type:Organization
Organization Name:DENTAL HEALTH EXPERTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLE-DONNE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:813-374-0302
Mailing Address - Street 1:10320 N 56TH ST
Mailing Address - Street 2:STE 300
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-4071
Mailing Address - Country:US
Mailing Address - Phone:813-374-0302
Mailing Address - Fax:813-443-5263
Practice Address - Street 1:10320 N 56TH ST
Practice Address - Street 2:STE 300
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-4071
Practice Address - Country:US
Practice Address - Phone:813-374-0302
Practice Address - Fax:813-443-5263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL122300000XOtherDENTIST