Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward S Mortellaro Jr DMD PA

Organization Periodontics · NPI 1770700437

Edward S Mortellaro Jr DMD PA is a Periodontics in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

710 Oakfield Dr Ste 126
Brandon, FL 33511-4907
Phone: (813) 685-7733
Fax: (813) 681-9726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN8061 (FL)

Record details

NPI number1770700437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Mortellaro — President · (813) 685-7733
NPI enumeratedApril 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address710 Oakfield Drive, Suite 126, Brandon, FL 33511-4907

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