NPI 1982454310 · live from the CMS NPI Registry
Acosta Dental, LLC
Dentist, General Practice in Lake City, FL. National Provider Identifier 1982454310, active.
NPI record
| NPI | 1982454310 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2143 W Us Highway 90 Ste A, Lake City, FL 32055 |
| Practice phone | 386-243-2031 |
| Mailing address | Po Box 70887, Cleveland, OH 44190 |
| Enumerated | March 26, 2024 |
| Last updated | June 5, 2024 |
| Authorized official | Valerie Hamilton, Director Of Contracting |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.