OrganizationActive
M.d.m. of Ellenton P.A.
NPI 1558779918 · Dentist · Ellenton, FL
M.d.m. of Ellenton P.A. is a Dentist organization in Ellenton, FL (NPI 1558779918).
Provider details
- NPI number
- 1558779918
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Martin, President(941) 254-2300
- License
- DN18829 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
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
5975 Factory Shops Blvd
Ellenton, FL 34222-4125
Phone: (941) 254-2300
Street-level locationGet directions
Mailing address
701 S Howard Ave
Tampa, FL 33606-2473
Registry dates
- Enumerated
- 2014-07-30
- Last updated
- 2014-07-30
Frequently asked questions
- What is M.d.m. of Ellenton P.A.'s NPI number?
- M.d.m. of Ellenton P.A.'s National Provider Identifier (NPI) is 1558779918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is M.d.m. of Ellenton P.A.?
- M.d.m. of Ellenton P.A. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is M.d.m. of Ellenton P.A. located?
- M.d.m. of Ellenton P.A.'s practice location on file with NPPES is 5975 Factory Shops Blvd, Ellenton, FL 34222-4125.
- What is M.d.m. of Ellenton P.A.'s phone number?
- The practice phone number listed in the NPPES registry for M.d.m. of Ellenton P.A. is (941) 254-2300.
- Who is the authorized official for M.d.m. of Ellenton P.A.?
- The authorized official listed on M.d.m. of Ellenton P.A.'s NPPES record is Jeffrey Martin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is M.d.m. of Ellenton P.A.'s NPI active?
- Yes — M.d.m. of Ellenton P.A.'s NPI (1558779918) is active in the NPPES registry as of the last update on 2014-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.