Gabriela Alejandra Perez Pedrianes, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27420 Issued in FL

Practice address

5231 University Pkwy Unit 120
University Park, FL 34201-3009

Phone

(941) 363-0458

NPI assigned

Jul 11, 2022

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

• Dixon Dental Concepts Inc

  dba Aspen Dental

  • Dentist
  • University Park, FL
  • NPI 1942587399
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1407580038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5162 CREEKSIDE TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342433891",
            "telephone_number": "941-586-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 UNIVERSITY PKWY UNIT 120",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342013009",
            "telephone_number": "941-363-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PEDRIANES",
        "first_name": "GABRIELA",
        "middle_name": "ALEJANDRA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obl Uvc Medical PLLC
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• Anita Patnaude
• Merissa Pearce
• Elisa Pedroso
• Dawn Perkins
• Adam N Phillips, D.O.
• Denise Zolla Pizzo, L.M.T.
• Victoria Plummer
• Alliena Lee Post, LMT

• General Practice Dentistry in University Park, FL
• Providers in University Park, 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 Jul 28, 2022; 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.