Individual provider Active NPI

Robert Donald Pierre II, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Sanford, FL
National Provider Identifier
1063899102
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN20627 Issued in FL
Practice address
1528 Rinehart Rd
Sanford, FL 32771-7497
Phone
(407) 792-3987
NPI assigned
Apr 28, 2015
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 20627 FL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN20627 FL Primary

Addresses

Primary practice location

1528 Rinehart Rd
Sanford, FL 32771-7497

Mailing address

533 Starstone Dr
Lake Mary, FL 32746-6317
Phone (407) 754-7652

Other practice location 1

3801 W Lake Mary Blvd Unit 109
Lake Mary, FL 32746-6160
Phone (407) 499-8135

Other practice location 2

320 N Maitland Ave Ste A
Maitland, FL 32751-4772
Phone (407) 794-0335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125001980 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901143106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 20627FLMDDentist
DN20627FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Prestige Surgical Arts & Implants Center Oral and Maxillofacial Surgery CurrentSince Aug 6, 2023 Accepting new patients

Locations

320 N Maitland Ave
Ste A
Maitland, FL 32751
Phone (321) 248-4040

Interoperability endpoints

  • Direct secure messaging: rpierre179082@orlandohealth.medalliesdirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1063899102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 STARSTONE DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466317",
            "telephone_number": "407-754-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 RINEHART RD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327717497",
            "telephone_number": "407-792-3987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 W Lake Mary Blvd Unit 109",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327466160",
            "country_code": "US",
            "telephone_number": "407-499-8135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 N Maitland Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327514772",
            "country_code": "US",
            "telephone_number": "407-794-0335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "ROBERT",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 20627",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN20627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.