Organization Active NPI

Advanced Dentistry of Gainesville PLLC

  • Prosthodontics
  • Gainesville, FL
National Provider Identifier
1528786514
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
ADVANCED DENTISTRY OF GAINESVILLE PLLC
Practice address
4411 NW 8TH Ave Ste a
Gainesville, FL 32605-4520
Phone
(352) 376-7335
NPI assigned
Aug 16, 2022
Last updated
Aug 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Dr. Martin Sebastian Lalama, DMD, MSNPI 1851812515
Title
Owner
Phone
(352) 376-7335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Prosthodontics 1223P0700X Primary

Addresses

Primary practice location

4411 NW 8TH Ave Ste a
Gainesville, FL 32605-4520

Mailing address

4411 NW 8TH Ave Ste a
Gainesville, FL 32605-4520
Phone (352) 376-7335

National Provider Directory

National Provider Directory

Locations

4411 NW 8th Ave
Ste A
Gainesville, FL 32605
Phone (352) 376-7335

Practitioners & affiliated clinicians

Practitioners 3

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": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1528786514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 NW 8TH AVE STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054520",
            "telephone_number": "352-376-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 NW 8TH AVE STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054520",
            "telephone_number": "352-376-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTISTRY OF GAINESVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "LALAMA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "SEBASTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-376-7335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.