DR. MARIO EDUARDO POLANCO (NPI# 1023065315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023065315 |
| Entity Type | Individual |
| Full Name | DR. MARIO EDUARDO POLANCO |
| Credential | D.D.S. |
| Practice Address |
7814 N Dale Mabry Hwy Tampa FL 33614-3220 |
| Mailing Address |
8704 Sleepy Oak Pl Tampa FL 33614-1770 |
| Practice Telephone | 8134053939 |
| Practice Fax Number | 8134053929 |
| Mailing Telephone | 8134053939 |
| Mailing Fax Number | 8134053929 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN16816 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 075853100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629357033 | Mario Polanco | Technician/Technologist | 161 Washington St., Haverhill, MA 01832-5418 | 2011-08-16 |
| 1073640587 | Mario Polanco | Specialist | 5301 Whittier Blvd, Atrium Suite, Los Angeles, CA 90022-4038 | 2007-02-28 |
| Street Address |
7814 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125482 | Laura Davis Walls | Registered Nurse | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2020-05-07 |
| 1225681398 | Adam Bastille | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2019-07-18 |
| 1033779590 | Jesus Santos Moreno | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2019-06-17 |
| 1982112926 | Michelle J Vice | Physician Assistant | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2018-01-11 |
| 1881123669 | Edda Marie Jimenez Quinones | Pharmacist | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2017-06-06 |
| 1508399601 | Pollyanna Sanchez-martinez Pitt | Family Medicine | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2017-04-05 |
| 1831639822 | Bethany Baker | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614 | 2017-02-24 |
| 1124487996 | Erin Burgasser | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2016-02-22 |
| 1164880308 | Yordenys Collazo Eijo | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2016-02-03 |
| 1649638172 | Adiba Khan | Dentist | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742499 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 8682 Hunters Village Rd, Tampa, FL 33647-3778 | 2020-02-13 |
| 1194387118 | Matthew Sorsok | Dentist | 8406 Wilsky Blvd, Tampa, FL 33615-1515 | 2019-06-29 |
| 1922666056 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 13805 Nine Eagles Dr, Tampa, FL 33626-3002 | 2019-06-04 |
| 1346728425 | Buckenheimer & Bulnes, D.m.d.'s P.a. | Dentist | 3906 W. Neptune St., Tampa, FL 33629-5829 | 2018-08-01 |
| 1700308855 | Neil Bradley Seaver | Dentist | 16562 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2017-07-11 |
| 1801316310 | Affiliated Dental Specialist Pl | Dentist | 13129 N Dale Mabry Hwy Ste H, Tampa, FL 33618-2444 | 2017-06-26 |
| 1215457767 | Affiliated Dental Specialist Pl | Dentist | 17401 Commerce Park Blvd Ste 101, Tampa, FL 33647-3507 | 2017-06-26 |
| 1316479959 | Jennifer Lindsay Kucko | Dentist | 12113 W Linebaugh Ave, Tampa, FL 33626-1732 | 2017-04-02 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1821441601 | Nicholas K. Mickelson | Dentist | 10041 W Hillsborough Ave, Tampa, FL 33615-3002 | 2016-07-18 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.