Yeritza Jaquez DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

YERITZA JAQUEZ DDS PLLC

Doing business as

Kians Dental Studio

Practice address

575 Avenue K SE
Winter Haven, FL 33880-4215

Phone

(863) 875-4395

NPI assigned

Jun 8, 2026

Last updated

Jun 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yeritza Jaquez Gomez, DDSNPI 1578251401

Title

Owner/Dentist

Phone

(786) 505-7821

Specialties & licenses 1

Addresses

Other names 1

• Kians Dental Studio Doing business as

Locations

Practitioners 1

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.

• Yeritza Jaquez Gomez

  • Dentist
  • Sunrise, FL
  • NPI 1578251401
  NPD Authorized official

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1619800695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10823 SW 62ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804215",
            "telephone_number": "863-875-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YERITZA JAQUEZ DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "JAQUEZ GOMEZ",
        "authorized_official_first_name": "YERITZA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "786-505-7821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kians Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lois M Wygonik, CRNA
• Elizabeth Xavier, O.D.
• Mary Yakovets
• Hui Yang, OTR/L
• Yargol Dialysis LLC (Winter Haven South Dialysis)
• Jae Yeon You, DDS
• Lewayne A Young, COTA
• Nakesha Young
• Allison Youngberg, COTA/L
• Your Favorite NP Consultant

• Dental Clinic/Center in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.