Active NPI
Dakota Roll
- Dentist
- Tavares, FL
National Provider Identifier
1083533988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 32185
- Practice address
- 1986 State Road 19
Tavares, FL 32778-4236 - Phone
- (352) 618-2119
- NPI assigned
- Jul 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32185 | FL | Primary |
Addresses
Primary practice location
1986 State Road 19
Tavares, FL 32778-4236
Mailing address
2514 Conserve Cir Apt 306
Apopka, FL 32703-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1083533988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 CONSERVE CIR APT 306",
"city": "APOPKA",
"state": "FL",
"postal_code": "327030080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1986 STATE ROAD 19",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784236",
"telephone_number": "352-618-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLL",
"first_name": "DAKOTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-14",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "32185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.