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

Dr. Mateo Vidales, DMD

Individual provider Dentist · NPI 1871086405

Dr. Mateo Vidales, DMD is a Dentist in Davenport, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

7700 Lake Wilson Rd
Davenport, FL 33896-9601
Phone: (863) 420-3166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 23425 (FL)

Record details

NPI number1871086405
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESJune 8, 2018
Mailing address1640 Wise Dr, North Port, FL 34286-6830

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