Organization Active NPI

Guava Dental

  • Dental Clinic/Center
  • Riverview, FL
National Provider Identifier
1346098589
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GUAVA DENTAL
Practice address
10672 Bloomingdale Ave Unit 102
Riverview, FL 33578-4291
Phone
(813) 773-3601
NPI assigned
May 13, 2024
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Dr. Leslie Lynette Nevarez Gonzalez, DMD
Title
Owner
Phone
(813) 454-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

10672 Bloomingdale Ave Unit 102
Riverview, FL 33578-4291

Mailing address

10672 Bloomingdale Ave Unit 102
Riverview, FL 33578-4291
Phone (813) 454-0776

National Provider Directory

National Provider Directory

Locations

10672 Bloomingdale Ave
Unit 102
Riverview, FL 33578
Phone (813) 454-0776

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1346098589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10672 BLOOMINGDALE AVE UNIT 102",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784291",
            "telephone_number": "813-454-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10672 BLOOMINGDALE AVE UNIT 102",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784291",
            "telephone_number": "813-773-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAVA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "NEVAREZ GONZALEZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-454-0776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.