Michael Emmanoul Gagaoudakis, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17757 Issued in FL

Practice address

6000 Turkey Lake Rd
#109
Orlando, FL 32819-4200

Phone

(407) 547-6453

NPI assigned

Feb 8, 2007

Last updated

Mar 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Concierge Dental Care, P.a.

  dba Orlando Lifestyle Dentistry

  • Dental Clinic/Center
  • Orlando, FL
  • NPI 1821520693
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1326188038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LIGHTHOUSE COVE CT",
            "address_2": "103",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614833",
            "telephone_number": "954-830-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD",
            "address_2": "#109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194200",
            "telephone_number": "407-547-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGAOUDAKIS",
        "first_name": "MICHAEL",
        "middle_name": "EMMANOUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Acevedo Gadea, M.D.
• Ashley Gadelha, PT
• Agnieszka Gaertig, MD
• Tara Gaffey, CRNA
• Shellina Gaffney
• Gage Enterprises ABA Therapy LLC
• Ana Gagliano, RN
• Carissa Gagliano
• Jeannine Gagliano, LMT
• Dawn Gagliardi

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.