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Active NPI 1861388969 Individual Practitioner Male Practitioner

Dr. Dillon James Depergola , DMD

Dentist - General Practice • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Dr. Dillon Depergola, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bradenton, FL. Practice services are available at 1602 CORTEZ RD W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1602 Cortez Rd W

Bradenton, FL 342071440

Telephone 9417086504
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bradenton, FL

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

Practicing in Bradenton, 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: 2025-06-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN30465

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1003665746

Doctor of Dental Medicine

Dr. Lori Gruskin , DMD

Dentist - General Practice

NPI 1487263067

Doctor of Dental Medicine

NPI 1528703709
Dr. Ashley Irizarry Gonzalez , DMD

Dentist - General Practice

NPI 1831852623

Doctor of Dental Medicine

Dr. Yaima Alba-Hoeper , DMD

Dentist - General Practice

NPI 1932760543

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 16, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2025

Registered at 1602 CORTEZ RD W, BRADENTON, FL 342071440 (Tel: 9417086504)

📍
Updated Business Mailing Address June 16, 2025

Registered at 9055 106TH AVE, SEMINOLE, FL 337771148 (Tel: 7276886323)

👤
Provider Name / Credentials Updated June 16, 2025

Recorded as DILLON DEPERGOLA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2025

Dentist (License #DN30465 in FL)

🟢
Initial NPI Registration & Enumeration June 16, 2025

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: 1861388969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2025
Last Update: June 16, 2025
Sole Proprietor: No

Mailing Address

9055 106th Ave

Seminole, FL 337771148

Phone: 7276886323

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.