Giselle Pendas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN28089 Issued in FL

Practice address

4404 NW 36TH Ave
Gainesville, FL 32606-7210

Phone

(786) 291-1547

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1558049445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 SW 143RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757079",
            "telephone_number": "786-291-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 NW 36TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067210",
            "telephone_number": "786-291-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDAS",
        "first_name": "GISELLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie R Pembleton-Corbett, DVM
• Nayrobi Maitelic Pena Cotui, MD
• Brandi Pena
• Vianette Pena
• Rylee Elizabeth Pence, MD
• Eve Rose Pendergraft
• Janae Alexis Pendergrass
• Rachael Pendleton
• Teng Jiao Peng Zhao, MD
• Wei Peng

• General Practice Dentistry in Gainesville, FL
• Providers in Gainesville, 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 3, 2024; 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.