Mitchell Persenaire, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN28171 Issued in FL

Practice address

3341 W Fletcher Ave
Tampa, FL 33618-2810

Phone

(813) 295-7656

Fax

(813) 219-8988

NPI assigned

May 2, 2015

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Premier Dental Implants and Prosthodontics PLLC

  • Prosthodontics
  • Tampa, FL
  • NPI 1528904414
  NPD Authorized official

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

{
    "created_epoch": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1922485507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182810",
            "telephone_number": "813-295-7656",
            "fax_number": "813-219-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182810",
            "telephone_number": "813-295-7656",
            "fax_number": "813-219-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSENAIRE",
        "first_name": "MITCHELL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-02",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN28171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darshanand Persaud, DMD
• Khavita Persaud, LCSW
• Ramdeo Bharrat Persaud
• Susan Persaud, ARNP-FNP
• Veronica Lakshmi Persaud
• Michelle Renee Persike, CCCSLP
• Terri Persinger, CPNP
• Tracy C. Person, DOULA
• Personal Growth Therapy Center LLC
• Personal Medical Center, Inc.

• Prosthodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.