Althea Ann Acosta, DDS
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Gainesville, FL
NPI 1215369673 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1215369673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- DRPM3054 (FL)
- Practice address
- 1395 Center Dr
Gainesville, FL 32610-0001 - Phone
- (352) 273-7800
- NPI assigned
- Aug 7, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60384466 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Family Dentistry, PLLC | Past |
Accepting new patients | |
| Arnell Prato, D.D.S., P.L.L.C. | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | DRPM3054 | FL | Yes |
| Dentist | 122300000X | DE60384466 | WA |
Addresses
Primary practice location
1395 Center Dr
Gainesville, FL 32610-0001
Mailing address
658 NW 120TH Ter Apt 316
Gainesville, FL 32607-0680
Phone (219) 508-1953
Other providers in Gainesville, FL
- Acivics Pharmacy, Inc.
- Anthony Edwin Ackerman
- Paula Diane Ackerman
- Crysta Ackermann
- Juan Carlos Acosta Martinez
- Ana Maria Acosta
- Andres R Acosta
- Atora Acosta
- Gonzalo Javier Acosta
- Jesus Acosta
All providers in Gainesville, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.