Active NPI
Ana Sofia Cebollero, D.M.D.
- Pediatric Dentistry
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 24371
- Practice address
- 1771 Capital Cir NE
Tallahassee, FL 32308-5517 - Phone
- (850) 765-3748
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 24371 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1771 Capital Cir NE
Tallahassee, FL 32308-5517
Mailing address
237 John Knox Rd
Tallahassee, FL 32303-6676
Phone (850) 728-2167
Other practice location 1
237 John Knox Rd
Tallahassee, FL 32303-6676
Phone (850) 728-2167
Other practice location 2
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24371 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiny Smiles Pediatric Dentist PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Smileworks , PLLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
1771 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 765-3748
237 John Knox Rd
Tallahassee, FL 32303
Phone (850) 385-5565
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Tallahassee, FL
- NPI 1952292740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1326417817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 JOHN KNOX RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323036676",
"telephone_number": "850-728-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 CAPITAL CIR NE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085517",
"telephone_number": "850-765-3748"
}
],
"practiceLocations": [
{
"address_1": "237 John Knox Rd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323036676",
"country_code": "US",
"telephone_number": "850-728-2167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "374 Stockholm St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112374006",
"country_code": "US",
"telephone_number": "718-963-7174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEBOLLERO",
"first_name": "ANA SOFIA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "24371",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.