Organization Active NPI

Leslie Celestina DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Sebring, FL
National Provider Identifier
1619045374
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN 15545 Issued in FL
Legal business name
LESLIE CELESTINA DDS PA
Practice address
5601 US Hwy 27 North
Sebring, FL 33870-1212
Phone
(863) 383-4894
Fax
(863) 382-6715
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Leslie William Celestina, DDS
Title
Owner
Phone
(863) 382-4894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN 15545 FL Primary

Addresses

Primary practice location

5601 US Hwy 27 North
Sebring, FL 33870-1212

Mailing address

5601 US Highway 27 N
Sebring, FL 33870-1212
Phone (863) 383-4894

Other names 1

  • Heartland Oral & Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

5601 US 27 N
Sebring, FL 33870
Phone (863) 382-4894

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1619045374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701212",
            "telephone_number": "863-383-4894",
            "fax_number": "863-382-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 US HWY 27 NORTH",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701212",
            "telephone_number": "863-383-4894",
            "fax_number": "863-382-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE CELESTINA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "CELESTINA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-382-4894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN 15545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.