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Deactivated NPI 1467234088 Deactivated / Inactive NPI Male Practitioner

Mina Eshak Rady Megally

Dentist • Winter Haven, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mina Megally has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2023
NPI Deactivation Date August 28, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Mina Megally was a registered Dentist practicing in Winter Haven, FL. Throughout an active medical career spanning 1 years, Mina Megally provided care at the practice location at 1425 6TH ST NW until profile deactivation on 2024-08-28.

Practice Location & Contact Primary Location

Practice Address

1425 6th St Nw

Winter Haven, FL 338812365

Telephone 8635094330
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Winter Haven, FL

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

Practicing in Winter Haven, 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: 2026-07-28
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN31923

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

3 Associated Practitioners
NPI 1184351918

Doctor of Dental Medicine

Henry Guilarte-Fernandez

Dentist - General Practice

NPI 1467133397
NPI 1982229613

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location July 28, 2026

Registered at 1425 6TH ST NW, WINTER HAVEN, FL 338812365 (Tel: 8635094330)

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Updated Business Mailing Address July 28, 2026

Registered at 3439 BUOY CIR, WINTER GARDEN, FL 347879073

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Provider Name / Credentials Updated July 28, 2026

Recorded as MINA MEGALLY

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2026

Dentist (License #DN31923 in FL)

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NPI Profile Deactivated August 28, 2024

Record deactivated on August 28, 2024

NPI Profile Active October 18, 2023

NPI status registered as active in NPPES database

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Updated Practice Location October 18, 2023

Registered at 240 SOUTH 40TH STREET(OFFICE OF CLINICAL AFFAIRS-56AEV, PHILADELPHIA, PA 19104 (Tel: 2155732588)

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Updated Business Mailing Address October 18, 2023

Registered at 240 SOUTH 40TH STREET(OFFICE OF CLINICAL AFFAIRS-56AEV, PHILADELPHIA, PA 19104

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Provider Name / Credentials Updated October 18, 2023

Recorded as MINA MEGALLY

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2023

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration October 18, 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: 1467234088
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2023
Last Update: July 28, 2026
Deactivation Date: August 28, 2024
Sole Proprietor: No

Mailing Address

3439 Buoy Cir

Winter Garden, FL 347879073

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.