MEDICARE: MCELWANEY DENTISTRY PLLC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1932066545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCELWANEY DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	3444 S WEST SHORE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8221
Country	:	US
Telephone Number	:	813-944-3226
Fax Number	:	813-333-3383

Provider Business Practice Location Address
First Line	:	3444 S WEST SHORE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8221
Country	:	US
Telephone Number	:	813-944-3226
Fax Number	:	813-333-3383

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. MACY MCELWANEY
Credential	:	DMD
Telephone Number	:	813-482-3847

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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