NPI 1962570622 · live from the CMS NPI Registry
Luis G Acosta, DMD
Dentist, General Practice in Winter Park, FL. National Provider Identifier 1962570622, active.
NPI record
| NPI | 1962570622 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2001 Lee Rd Ste B, Winter Park, FL 32789 |
| Practice phone | 407-645-4741 |
| Enumerated | December 1, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DN14814 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.