Independent US Healthcare Provider Directory & Public Medical Database
🏥
Active NPI 1629874565 Organization (Entity Type 2)

Prendiville Dds Pllc

Clinic/Center - Dental • Bartow, FL

About Prendiville Dds Pllc NPI 1629874565 Summary

Prendiville Dds Pllc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Bartow, FL. Located at 1495 E MAIN ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1629874565.

Administrative operations and authorized compliance are overseen by Mary Prendiville (Owner/Dr).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1495 E Main St

Bartow, FL 338305202

Telephone 8635330324

Authorized Official Information

Authorized Contact Name

Mary Prendiville , DDS

Title / Role

Owner/dr

Official Telephone

3059724887

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked
Dr. Linda May , DDS NPI 1952525008

Dentist - General Practice

Bartow, FL

View Practitioner Profile →

Dentist - General Practice

Bartow, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active February 21, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2025

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

📍
Updated Business Mailing Address February 21, 2025

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

🏛️
Organization / Clinic Name Updated February 21, 2025

Operating as PRENDIVILLE DDS PLLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2025

Clinic/Center

🟢
Initial NPI Registration & Enumeration February 21, 2025

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews
No reviews submitted yet for Prendiville Dds Pllc. Be the first to share your experience with this healthcare facility!
Have you visited Prendiville Dds Pllc? Sign in to your TRUE-MEDINFO account to submit a rating and review.
Sign In to Write a Review →

NPI Organization Metadata

NPI Number: 1629874565
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: February 21, 2025
Last Update: February 21, 2025

Mailing Address

1495 E Main St

Bartow, FL 338305202

Phone: 8635330324

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.