Igor German, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18268 Issued in FL

Practice address

809 Highway 466 Ste C-102
Lady Lake, FL 32159-3909

Phone

(352) 336-8478

Fax

(352) 775-1727

NPI assigned

Jun 2, 2008

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Practice roles (2 of 3)

Locations

Networks

• Freedom Health HMO Network

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.

• 352-Dentist, PA

  • Dental Clinic/Center
  • Lady Lake, FL
  • NPI 1487496337
  NPD Authorized official
• German Family Dentistry LLC

  • Dental Clinic/Center
  • Lady Lake, FL
  • NPI 1447096334
  NPD Authorized official

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1245499573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 SW 60TH ST",
            "address_2": "SUITE 202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747698",
            "telephone_number": "352-653-3161",
            "fax_number": "352-237-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 HIGHWAY 466 STE C-102",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593909",
            "telephone_number": "352-336-8478",
            "fax_number": "352-775-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAN",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garry L Dulgar PA
• Rosemary Gavan, ARNP
• James Nicholas Georgiades, A.P.
• Leon F Gerard, D.D.S.
• German Family Dentistry LLC
• Julia German
• Sebastian Giambini, DMD
• David M Gondek, PA-C
• Dusk R Gosney, DO
• Granny Nannies of North America LLC

• All providers in Lady Lake, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.