Andrew Lalli, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

27582 Issued in FL

Practice address

7100 4TH St N
St Petersburg, FL 33702-5912

Phone

(727) 592-8881

NPI assigned

Feb 12, 2019

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Matthew Lalli DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • St Petersburg, FL
  • NPI 1780437749
  NPD

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1609332931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025912",
            "telephone_number": "727-592-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025912",
            "telephone_number": "727-592-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLI",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "27582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeside Occupational Medical Centers, Inc.
• Lakeside Occupational Medical Centers, Inc.
• Jessica Allison Laks, MD
• Judith E Laky, RN
• Alexandra Lalley
• Lauren Lally, LCSW
• Margaret Lillian Lalor, ARNP
• Alexander Lam, PT, DPT
• Jessica Lam, APRN
• Yim F. Lam, M.D.

• Oral and Maxillofacial Surgery (Dentist) in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.