Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144292236 Individual Practitioner Female Practitioner

Dr. Ingrid Leeloy , DDS

Dentist - General Practice • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ingrid Leeloy, DDS is a registered healthcare professional specializing in Dentist - General Practice in Brandon, FL. Practice services are available at 165 E. BLOOMINGDALE AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

165 E. Bloomingdale Ave.

Brandon, FL 335118102

Telephone 8136436969
Associated Practice Facility / Clinic
🏢 Coast Dental P.a. Facility NPI 1689240988

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brandon, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
65 Specialists

Practicing in Brandon, 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: 2020-10-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN14756

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
070705800 (FL)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Ling Li

Dentist - General Practice

NPI 1386755890
NPI 1437772415

Doctor of Dental Medicine

Kenia Blanco Ramos

Dental Hygienist

NPI 1982291340

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 13, 2020

Registered at 165 E. BLOOMINGDALE AVE., BRANDON, FL 335118102 (Tel: 8136436969)

📍
Updated Business Mailing Address October 13, 2020

Registered at 165 E. BLOOMINGDALE AVE., BRANDON, FL 335118102 (Tel: 8136436969)

NPI Profile Active March 20, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2013

Registered at 37944 CHURCH AVE, DADE CITY, FL 335254207 (Tel: 3525182000)

📍
Updated Business Mailing Address March 20, 2013

Registered at PO BOX 232, DADE CITY, FL 335260232 (Tel: 3525182000)

👤
Provider Name / Credentials Updated March 20, 2013

Recorded as INGRID LEELOY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2013

Dentist (License #DN14756 in FL)

🟢
Initial NPI Registration & Enumeration February 03, 2006

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: 1144292236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2006
Last Update: October 13, 2020
Sole Proprietor: No

Mailing Address

165 E. Bloomingdale Ave.

Brandon, FL 335118102

Phone: 8136436969

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.