Mary Mabry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN25129 Issued in FL

Practice address

4620 S Florida Ave Ste 120
Lakeland, FL 33813-2166

Phone

(863) 216-5765

NPI assigned

Jul 7, 2020

Last updated

Jul 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Years Dentistry PLLC

  • Dentist
  • Largo, FL
  • NPI 1508704784
  NPD Authorized official
• M Squared Dental LLC

  • General Practice Dentistry
  • Largo, FL
  • NPI 1659232064
  NPD Authorized official
• Lakeland Modern Dentistry, PA

  dba Lakeland Modern Dentistry

  • Dentist
  • Lakeland, FL
  • NPI 1235649518
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1386262301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 TALON LOOP APT 303",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338126350",
            "telephone_number": "601-466-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 S FLORIDA AVE STE 120",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132166",
            "telephone_number": "863-216-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lyons, PA-C
• M & M Transport Care
• Lisa M Ma, DMD
• Raissa Prisca Mabaya, FNP-BC
• Makenzie Gordon Mabe, PA-C
• Lance Macblane
• Alyssa L Macca, APRN
• Joseph Macdonald, MD
• Kathy Valeria Macedo
• Walter Macedo Jr., MD

• Dentist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.