Andre Luiz De Melo Moreno, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DTP858 Issued in FL

Practice address

3400 Gulf to Bay Blvd
Clearwater, FL 33759-4514

Phone

(813) 345-6535

NPI assigned

Sep 15, 2025

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1598636474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31448 PENNY SURF LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335454509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 GULF TO BAY BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594514",
            "telephone_number": "813-345-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MELO MORENO",
        "first_name": "ANDRE LUIZ",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DTP858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Jeanette De la Cruz, PT, DPT
• Barbara Ileana De la Noval, F.N.P.
• Charles Rafael De la Torre, RPH
• Christina De la Torre
• Dominique De Laet
• Matthew Terry Deachin, PA-C
• Mallory K Deal, LMHC
• Thomas Deal, M.D.
• Dean J Gobo MD PLC
• Jenner Dean

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.