Laura Nathalia Perez Mendoza, DMD
Individual provider Active NPI Dentist · Ocala, FL
NPI 1376336248 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1376336248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN30522 (FL)
- Practice address
- 2575 SW 42ND St Unit 104
Ocala, FL 34471-1356 - Phone
- (352) 656-6472
- NPI assigned
- May 23, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30522 | FL | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN30522 | FL | Yes |
Addresses
Primary practice location
2575 SW 42ND St Unit 104
Ocala, FL 34471-1356
Mailing address
5413 Marlwood CT
Tampa, FL 33624-4866
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.