Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992086771 Individual Practitioner Female Practitioner

Dr. Mary Teresa Gunning Prendiville , DDS

Dentist - General Practice • Bartow, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mary Teresa Prendiville, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bartow, FL. Practice services are available at 1495 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1495 E Main St

Bartow, FL 338305202

Telephone 8635330324
Associated Practice Facility / Clinic
🏢 Prendiville Dds Pllc Facility NPI 1629874565

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bartow, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Bartow, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN20902

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Linda May , DDS

Dentist - General Practice

NPI 1952525008

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location February 19, 2025

Registered at 1495 E MAIN ST, BARTOW, FL 338305202 (Tel: 8635330324)

📍
Updated Practice Location April 05, 2020

Registered at 2110 SHEPHERD RD, MULBERRY, FL 338604602 (Tel: 8633541514)

📍
Updated Business Mailing Address April 05, 2020

Registered at 1407 PLANTATION CIR APT 305, PLANT CITY, FL 335661508 (Tel: 3059724887)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2020

Student in an Organized Health Care Education/Training Program

NPI Profile Active June 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2017

Registered at 601 CHANNELSIDE WALK WAY, TAMPA, FL 336026748 (Tel: (305) 972-4887)

📍
Updated Business Mailing Address June 17, 2017

Registered at 601 CHANNELSIDE WALK WAY, TAMPA, FL 336026740 (Tel: (305) 972-4887)

👤
Provider Name / Credentials Updated June 17, 2017

Recorded as MARY TERESA PRENDIVILLE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2017

Dentist (License #DN20902 in FL)

NPI Profile Active September 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2011

Registered at 238 W 101ST ST, 4B, NEW YORK, NY 100254970 (Tel: 3059724887)

📍
Updated Business Mailing Address September 07, 2011

Registered at 3444 KOSSUTH AVE, DTC BUILDING (BROWN ZONE), FIRST FLOOR, BRONX, NY 10467 (Tel: 7189202000)

👤
Provider Name / Credentials Updated September 07, 2011

Recorded as MARY TERESA PRENDIVILLE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2011

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 07, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992086771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2011
Last Update: February 19, 2025
Sole Proprietor: Yes

Mailing Address

1407 Plantation Cir Apt 305

Plant City, FL 335661508

Phone: 3059724887

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.