Healthcare Provider Details

I. General information

NPI: 1598684623
Provider Name (Legal Business Name): ANDRE PEDROSO DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 BEE RIDGE RD BLDG E
SARASOTA FL
34233-1207
US

IV. Provider business mailing address

3920 BEE RIDGE RD BLDG E
SARASOTA FL
34233-1207
US

V. Phone/Fax

Practice location:
  • Phone: 941-210-6904
  • Fax:
Mailing address:
  • Phone: 941-210-6904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number32216
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: