NPI 1215369673 · live from the CMS NPI Registry
Althea Ann Acosta, DDS
Student in an Organized Health Care Education/Training Program in Gainesville, FL. National Provider Identifier 1215369673, active.
NPI record
| NPI | 1215369673 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Student in an Organized Health Care Education/Training Program 390200000X |
| Practice location | 1395 Center Dr, Gainesville, FL 32610 |
| Practice phone | 352-273-7800 |
| Mailing address | 658 Nw 120th Ter Apt 316, Gainesville, FL 32607 |
| Enumerated | August 7, 2013 |
| Last updated | September 2, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program primary | 390200000X | DRPM3054 (FL) |
| Dentist | 122300000X | DE60384466 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.