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Active NPI 1750495149 Individual Practitioner Female Practitioner

Dr. Marielsa Adrianza Adrianza-Weidanz , DDS

Dentist - General Practice • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Dr. Marielsa Adrianza-Weidanz, DDS is a registered healthcare professional specializing in Dentist - General Practice in Crestview, FL. Practice services are available at 4100 S FERDON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4100 S Ferdon Blvd
Suite C2

Crestview, FL 325365252

Telephone 8504234603
Fax 8504230473
Associated Practice Facility / Clinic
🏢 Prime Therapy, Inc Facility NPI 1316996713

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Crestview, FL

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

Practicing in Crestview, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN14799

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 20288

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 13927

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
008109700 (FL)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1124564976

Registered Dental Hygienist

Patricia Haun , RDH

Dental Hygienist

NPI 1316470065

Registered Dental Hygienist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2013

Registered at 4100 S FERDON BLVD, SUITE C2, CRESTVIEW, FL 325365252 (Tel: 8504234603)

📍
Updated Business Mailing Address August 15, 2013

Registered at 2804 REMINGTON GREEN CIR STE 2, TALLAHASSEE, FL 323081550 (Tel: 8503854494)

👤
Provider Name / Credentials Updated August 15, 2013

Recorded as MARIELSA ADRIANZA-WEIDANZ, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2013

Dentist (License #13927 in TX)

🟢
Initial NPI Registration & Enumeration August 19, 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: 1750495149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2006
Last Update: August 15, 2013
Sole Proprietor: No

Mailing Address

2804 Remington Green Cir Ste 2

Tallahassee, FL 323081550

Phone: 8503854494

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.