Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790916849 Individual Practitioner Female Practitioner

Dr. Mari Takeda , DMD

Dentist - General Practice • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mari Takeda, DMD is a registered healthcare professional specializing in Dentist - General Practice in Daytona Beach, FL. Practice services are available at 2455 W INTL SPEEDWAY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2455 W Intl Speedway Blvd

Daytona Beach, FL 321141193

Telephone 8662738204
Fax 8668034943
Associated Practice Facility / Clinic
🏢 Clark A Downey Dds Pc Facility NPI 1730408428

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Daytona Beach, FL

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

Practicing in Daytona Beach, 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 DN18436

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

7 Associated Practitioners
Dr. Supriya Sharma , DMD

Dentist - General Practice

NPI 1043765985

Doctor of Dental Medicine

NPI 1114265055

Doctor of Dental Surgery

NPI 1578230603

Doctor of Dental Surgery

NPI 1619497989

Doctor of Dental Medicine, Doctor of Philosophy (Ph.D.)

NPI 1669785416
Dr. Stephen Clark , DDS

Dentist - General Practice

NPI 1679293617

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 06, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2009

Registered at 2455 W INTL SPEEDWAY BLVD, DAYTONA BEACH, FL 321141193 (Tel: 8662738204)

📍
Updated Business Mailing Address August 06, 2009

Registered at PO BOX 3189, SYRACUSE, NY 132203189 (Tel: 8662738204)

👤
Provider Name / Credentials Updated August 06, 2009

Recorded as MARI TAKEDA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2009

Dentist (License #DN18436 in FL)

🟢
Initial NPI Registration & Enumeration August 06, 2009

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: 1790916849
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2009
Last Update: August 06, 2009
Sole Proprietor: No

Mailing Address

Po Box 3189

Syracuse, NY 132203189

Phone: 8662738204

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.