MEDICARE: SPALLONE FAMILY DENTISTRY & ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1881392157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPALLONE FAMILY DENTISTRY & ASSOCIATES

Provider Business Mailing Address
First Line	:	1955 POINTE WEST DR
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32966-1302
Country	:	US
Telephone Number	:	772-567-5100
Fax Number	:	772-567-5801

Provider Business Practice Location Address
First Line	:	1955 POINTE WEST DR
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32966-1302
Country	:	US
Telephone Number	:	772-567-5100
Fax Number	:	772-567-5801

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. TIFFANY SPALLONE
Credential	:	DDS
Telephone Number	:	772-567-5100

Provider Enumeration Date	:	02/16/2023
Last Update Date	:	01/14/2026

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