NPI 1962797498 · live from the CMS NPI Registry
Stephanie M. Acevedo-Decandis, DMD
Dentist, General Practice in Jacksonville, FL. National Provider Identifier 1962797498, active.
NPI record
| NPI | 1962797498 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 14444 Beach Blvd Ste 2, Jacksonville, FL 32250 |
| Practice phone | 904-223-4939 |
| Mailing address | 926 Great Pond Dr Ste 2002, Altamonte Springs, FL 32714 |
| Enumerated | June 13, 2011 |
| Last updated | April 3, 2015 |
| Sole proprietor | No |
| Other names | Stephanie Acevedo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DN19360 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.