Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174213607 Individual Practitioner Female Practitioner

Dr. Mariam Merayo Godo , DMD

Dentist • Wimauma, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mariam Merayo Godo, DMD is a registered healthcare professional specializing in Dentist in Wimauma, FL. Practice services are available at 4921 STATE ROAD 674 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4921 State Road 674

Wimauma, FL 335983534

Telephone 8138193254
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Wimauma, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Wimauma, FL (6414 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: 2024-01-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN28735

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License KY 10953

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1265050041

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 30, 2024

Registered at 4921 STATE ROAD 674, WIMAUMA, FL 335983534 (Tel: 8138193254)

📍
Updated Business Mailing Address January 30, 2024

Registered at 11810 THICKET WOOD DR, RIVERVIEW, FL 335794306 (Tel: 5025331821)

NPI Profile Active May 25, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2023

Registered at 4133 TAYLOR BLVD, LOUISVILLE, KY 402152341 (Tel: 5023688400)

📍
Updated Business Mailing Address May 25, 2023

Registered at 6417 SADDLEVIEW CT, LOUISVILLE, KY 402281693 (Tel: 5025331821)

👤
Provider Name / Credentials Updated May 25, 2023

Recorded as MARIAM MERAYO GODO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2023

Dentist (License #10953 in KY)

🟢
Initial NPI Registration & Enumeration May 09, 2023

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: 1174213607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2023
Last Update: January 30, 2024
Sole Proprietor: No

Mailing Address

11810 Thicket Wood Dr

Riverview, FL 335794306

Phone: 5025331821

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.