Lilia Saavedra Goubanova, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29126 Issued in FL

Practice address

2721 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-5602

Phone

(407) 556-6113

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ideal Dental St Cloud PLLC

  • Dentist
  • Kissimmee, FL
  • NPI 1477253730
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1053155978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 ACADEMY DR APT 201",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347448651",
            "telephone_number": "480-245-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 E IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445602",
            "telephone_number": "407-556-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAVEDRA GOUBANOVA",
        "first_name": "LILIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "29126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Ryder
• Heejin Ryoo, MS
• RZ Healthcare LLC (RiteMed Oak)
• Sa Care Transport LLC
• Malek Saad
• Anita Sabharwal, M.D.
• Sarat C Sabharwal, MD
• Erika Sacerio, PTA
• Sana Sadeek
• Saeed Sam Sadrameli, M.D.

• General Practice Dentistry in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.