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

Dr. Vivian Medina, DDS

Individual provider General Practice Dentistry · NPI 1376566521

Dr. Vivian Medina, DDS is a General Practice Dentistry in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3630 Madaca Ln
Tampa, FL 33618-2057
Phone: (813) 264-0286
Fax: (813) 960-4667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN-12750 (FL)

Record details

NPI number1376566521
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESDecember 5, 2011
Mailing address3630 Madaca Ln, Tampa, FL 33618-2057

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