Dr Lori Marie Degaetano, DDS is a
Dentist based in Bredenton, Florida. Dr Lori Marie Degaetano is licensed to practice in Florida (license number DN0011054) and her current practice location is
Lecom, 4800 Lakewood Ranch Blvd., Bredenton, Florida. She can be reached at her office (for appointments etc.) via phone at
(727) 249-5309.
NPI number for Dr Lori Marie Degaetano is 1306015599 and her current mailing address is 17615 Esprit Dr, Suite 301, Tampa, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306015599.
Healthcare Provider's Profile
| Full Name | Dr Lori Marie Degaetano |
|---|
| Gender | Female |
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| Speciality | Dentist |
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| Location | Lecom, Bredenton, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306015599
- Provider Enumeration Date: 02/21/2008
- Last Update Date: 01/06/2026
Medical Identifiers
Medical identifiers for Dr Lori Marie Degaetano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306015599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | DN0011054 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lori Marie Degaetano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Lori Marie Degaetano, DDS 17615 Esprit Dr, Suite 301, Tampa, FL 33647 Ph: (727) 249-5309 | Dr Lori Marie Degaetano, DDS Lecom, 4800 Lakewood Ranch Blvd., Bredenton, FL 34211 Ph: (727) 249-5309 |
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