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

Mario Mamdouh Toma, DMD

Individual provider Dentist · NPI 1508753773

Mario Mamdouh Toma, DMD is a Dentist in Port Orange, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2025
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

4904 Clyde Morris Blvd
Port Orange, FL 32129-4170
Phone: (386) 202-1278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5315 Cordgrass Bend Ln, Port Orange, FL 32128-3000 — (386) 316-4217

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30292 (FL)

Record details

NPI number1508753773
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 20, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

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