Healthcare Provider Details

I. General information

NPI: 1629166111
Provider Name (Legal Business Name): ALBERICO JOSEPH SESSA MD, DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4143 CLARK RD
SARASOTA FL
34233-2403
US

IV. Provider business mailing address

4143 CLARK RD
SARASOTA FL
34233-2403
US

V. Phone/Fax

Practice location:
  • Phone: 941-923-1736
  • Fax:
Mailing address:
  • Phone: 941-923-1736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number96256
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN16234
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: