Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730118829 Individual Practitioner Female Practitioner

Dr. Kimberly A. Dettori , DDS, MS

Dentist - Endodontics • Stuart, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Dettori, DDS, MS is a registered healthcare professional specializing in Dentist - Endodontics in Stuart, FL. Practice services are available at 903 SE OCEAN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

903 Se Ocean Blvd
Suite 1

Stuart, FL 349942475

Telephone 7722213700
Fax 7722219107
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Stuart, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Stuart, FL (536 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License FL DN12143

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Simon Ghattas , DMD, MS

Dentist - Endodontics

NPI 1053549782

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 04, 2016

NPI status registered as active in NPPES database

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Updated Practice Location March 04, 2016

Registered at 903 SE OCEAN BLVD, SUITE 1, STUART, FL 349942475 (Tel: 7722213700)

📍
Updated Business Mailing Address March 04, 2016

Registered at 903 SE OCEAN BLVD, SUITE 1, STUART, FL 349942475 (Tel: 7722213700)

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Provider Name / Credentials Updated March 04, 2016

Recorded as KIMBERLY DETTORI, D.D.S., M.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2016

Dentist (License #DN12143 in FL)

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Initial NPI Registration & Enumeration July 01, 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: 1730118829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2006
Last Update: March 04, 2016
Sole Proprietor: Yes

Mailing Address

903 Se Ocean Blvd, Suite 1

Stuart, FL 349942475

Phone: 7722213700

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.