Organization Active NPI

Gainesville and Ocala Perio LLC

  • Periodontics
  • Gainesville, FL
National Provider Identifier
1124959689
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
GAINESVILLE AND OCALA PERIO LLC
Practice address
3721 NW 40TH Ter Ste a
Gainesville, FL 32606-8149
Phone
(352) 745-3405
NPI assigned
May 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Maliha Fatima, DMD, MSNPI 1992229504
Title
Owner
Phone
(954) 804-0487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

3721 NW 40TH Ter Ste a
Gainesville, FL 32606-8149

Mailing address

3721 NW 40TH Ter Ste a
Gainesville, FL 32606-8149

National Provider Directory

National Provider Directory

Locations

3721 NW 40th Ter
Ste A
Gainesville, FL 32606
Phone (352) 376-5112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1124959689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 NW 40TH TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 NW 40TH TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068149",
            "telephone_number": "352-745-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE AND OCALA PERIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "FATIMA",
        "authorized_official_first_name": "MALIHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-804-0487",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.