Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992368112 Individual Practitioner Female Practitioner

Donna Mansour

Dentist - General Practice • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Donna Mansour is a registered healthcare professional specializing in Dentist - General Practice in Brandon, FL. Practice services are available at 212 N MOON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

212 N Moon Ave

Brandon, FL 335104422

Telephone 8136895928
Associated Practice Facility / Clinic
🏢 Walker & Barr, Dmd, Pllc Facility NPI 1144435918

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: 2022-07-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN24732

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

4 Associated Practitioners
Dr. Eric Raynal , DMD

Dentist - General Practice

NPI 1457514796

Doctor of Dental Medicine

Dr. Sarah Mcauley , DMD

Dentist - General Practice

NPI 1568029692

Doctor of Dental Medicine

Dr. Emily Tobkes , DMD

Dentist - General Practice

NPI 1578489209

Doctor of Dental Medicine

Dr. David Walker , DMD

Dentist - General Practice

NPI 1720241078

Doctor of Dental Medicine

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location July 26, 2022

Registered at 212 N MOON AVE, BRANDON, FL 335104422 (Tel: 8136895928)

📍
Updated Practice Location May 11, 2022

Registered at 8851 N 56TH ST, TEMPLE TERRACE, FL 336176203 (Tel: 8135981216)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2022

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location January 19, 2021

Registered at 2307 S DALE MABRY HWY STE C, TAMPA, FL 336296322 (Tel: 8132546838)

📍
Updated Business Mailing Address January 19, 2021

Registered at 4020 SAWYER RD, SARASOTA, FL 342331272 (Tel: 9413667475)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2021

Dentist (License #DN24732 in FL)

📍
Updated Practice Location September 22, 2020

Registered at 971 E BLOOMINGDALE AVE, BRANDON, FL 335118118 (Tel: 8134353867)

📍
Updated Business Mailing Address September 22, 2020

Registered at 1710 LITTLE POINTE CIR, SARASOTA, FL 342315318

NPI Profile Active April 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2019

Registered at 150 55TH ST, BROOKLYN, NY 112202508 (Tel: 7186307000)

📍
Updated Business Mailing Address April 15, 2019

Registered at 17 STUYVESANT OVAL APT 9C, NEW YORK, NY 100091922

👤
Provider Name / Credentials Updated April 15, 2019

Recorded as DONNA MANSOUR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 15, 2019

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: 1992368112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2019
Last Update: July 26, 2022
Sole Proprietor: Yes

Mailing Address

4020 Sawyer Rd

Sarasota, FL 342331272

Phone: 9413667475

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.