Michelle Dellapenta Bargfrede, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN23352 Issued in FL

Practice address

4267 W Lake Mary Blvd.
Lake Mary, FL 32746

Phone

(407) 302-7774

Fax

(407) 302-5651

NPI assigned

Apr 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Kathryn Dellapenta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 23, 2023 through Mar 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michelle Bargfrede DMD PA

  dba Classic Dental

  • Dental Clinic/Center
  • Lake Mary, FL
  • NPI 1427760230
  NPD Authorized official
• Classic Dental, Inc.

  • Dentist
  • Lake Mary, FL
  • NPI 1821259383
  NPD (past)

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1285122788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4267 W LAKE MARY BLVD.",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-302-7774",
            "fax_number": "407-302-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4267 W LAKE MARY BLVD.",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-302-7774",
            "fax_number": "407-302-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGFREDE",
        "first_name": "MICHELLE",
        "middle_name": "DELLAPENTA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DELLAPENTA",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Joy Banas, M.A. SLP
• Carla Banks
• Sami K. Banoub, DMD
• Marvin Barcenes
• Eva T. Barco, APRN
• Shea Rose West Barhite, BEHAVIOR TECHNICIAN
• Thomas A Barnard, MD
• Kimberly Denniese Barnes, O.M.D L.AC.
• Ella Barnett, APRN
• Natura Barnett

• Dentist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.