Patrick Lemay Cello, DDS
Individual provider Active NPI General Practice Dentistry · Okeechobee, FL
NPI 1528186996 · NPPES record last updated Aug 18, 2016
Key facts
- NPI
- 1528186996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN20531 (FL)
- Practice address
- 2015 US Highway 441 N
Okeechobee, FL 34972-1901 - Phone
- (863) 763-1951
- Fax
- (561) 847-2305
- NPI assigned
- Mar 26, 2007
- Reactivated
- May 3, 2013
- Sex
- Male
- 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 |
|---|---|---|---|
| DN20531 | FL | MD | General Practice Dentistry |
| 041682 | NY | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 041682 | NY | |
| General Practice Dentistry | 1223G0001X | DN20531 | FL | Yes |
Addresses
Primary practice location
2015 US Highway 441 N
Okeechobee, FL 34972-1901
Mailing address
5827 Corporate Way
West Palm Beach, FL 33407-2000
Phone (561) 844-9443
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013526700 | Medicaid | FL |
Other providers in Okeechobee, FL
- Stacey Latricia Canty
- Christine Carraway
- Javier A Carrazana Paz
- Magaly Esther Carrion-Jimenez
- Jennifer Caschetta
- Leslie H Cendejas
- CF Physical Therapy Inc
- Miranda J Chandler
- Changing Tree Wellness Center, LLC
- Nichole Chapa
All providers in Okeechobee, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2016. 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.