OrganizationActive
Vidales Dental Corp
NPI 1780466011 · Dentist · Lakeland, FL
Vidales Dental Corp is a Dentist organization in Lakeland, FL (NPI 1780466011).
Provider details
- NPI number
- 1780466011
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mateo Vidales, Owner(863) 225-5600
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
6958 Shimmering Dr
Lakeland, FL 33813-3331
Phone: (813) 818-8056
Street-level locationGet directions
Mailing address
6958 Shimmering Dr
Lakeland, FL 33813-3331
Other names (DBA / former)
- Doing business as
- Shimmering Dental
Registry dates
- Enumerated
- 2023-10-20
- Last updated
- 2023-10-20
- Certified
- 2023-10-20
Frequently asked questions
- What is Vidales Dental Corp's NPI number?
- Vidales Dental Corp's National Provider Identifier (NPI) is 1780466011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vidales Dental Corp?
- Vidales Dental Corp is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Vidales Dental Corp located?
- Vidales Dental Corp's practice location on file with NPPES is 6958 Shimmering Dr, Lakeland, FL 33813-3331.
- What is Vidales Dental Corp's phone number?
- The practice phone number listed in the NPPES registry for Vidales Dental Corp is (813) 818-8056.
- Who is the authorized official for Vidales Dental Corp?
- The authorized official listed on Vidales Dental Corp's NPPES record is Mateo Vidales, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vidales Dental Corp's NPI active?
- Yes — Vidales Dental Corp's NPI (1780466011) is active in the NPPES registry as of the last update on 2023-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.