Southshore Orthodontics PA
NPI 1508255712 · Orthodontics and Dentofacial Orthopedics Dentistry · Gibsonton, FL
Southshore Orthodontics PA is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Gibsonton, FL (NPI 1508255712).
Provider details
- NPI number
- 1508255712
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Ahrens, President(352) 843-0783
- License
- 18985 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-01-12
- Last updated
- 2015-01-13
Frequently asked questions
- What is Southshore Orthodontics PA's NPI number?
- Southshore Orthodontics PA's National Provider Identifier (NPI) is 1508255712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southshore Orthodontics PA?
- Southshore Orthodontics PA is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Southshore Orthodontics PA located?
- Southshore Orthodontics PA's practice location on file with NPPES is 13135 Kings Lake Dr # 103, Gibsonton, FL 33534-3960.
- What is Southshore Orthodontics PA's phone number?
- The practice phone number listed in the NPPES registry for Southshore Orthodontics PA is (813) 815-0080.
- Who is the authorized official for Southshore Orthodontics PA?
- The authorized official listed on Southshore Orthodontics PA's NPPES record is Matthew Ahrens, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southshore Orthodontics PA's NPI active?
- Yes — Southshore Orthodontics PA's NPI (1508255712) is active in the NPPES registry as of the last update on 2015-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.