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

Mariam Merayo Godo, DMD

Individual provider Dentist · NPI 1174213607

Mariam Merayo Godo, DMD is a Dentist in Wimauma, Florida. Licensed in Florida and Kentucky. Registered with an NPI since 2023.

Licensed in
FL, KY
In the registry since
2023
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4921 State Road 674
Wimauma, FL 33598-3534
Phone: (813) 819-3254
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN28735 (FL)
Dentist Taxonomy 122300000X · Licence 10953 (KY)

Record details

NPI number1174213607
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address11810 Thicket Wood Dr, Riverview, FL 33579-4306

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