Julia German

Individual provider Active NPI General Practice Dentistry · Lady Lake, FL

NPI 1508977273 · NPPES record last updated Aug 5, 2024

Key facts

NPI
1508977273
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN16342 (FL)
Practice address
809 Highway 466 Ste C-102
Lady Lake, FL 32159-3909
Phone
(352) 336-8478
Fax
(352) 775-1727
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
352-Dentist, PA Current
since Aug 11, 2024
Accepting new patients
German Family Dentistry LLC Current
since Aug 11, 2024
Accepting new patients
Coast Florida P.a. Past
since Jun 22, 2021
Accepting new patients
Coast Florida P.a. Past Accepting new patients

Locations

809 Highway 466
Ste C102
Lady Lake, FL 32159
Phone (352) 336-8478

Networks

  • Freedom Health HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16342 FL Yes

Addresses

Primary practice location

809 Highway 466 Ste C-102
Lady Lake, FL 32159-3909

Mailing address

809 Highway 466 Ste C-102
Lady Lake, FL 32159-3909
Phone (352) 336-8478

Other providers in Lady Lake, FL

All providers in Lady Lake, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.