Angelina M Adames, DDS
Individual provider Active NPI Pediatric Dentistry · Lakeland, FL
NPI 1689093767 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1689093767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- DN21119 (FL)
- Practice address
- 5710 US Highway 98 N
Lakeland, FL 33809-3108 - Phone
- (863) 221-8752
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 13, 2016 through Jun 13, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 21119 | FL | MD | General Practice Dentistry |
| 058293-1 | NY | MD | General Practice Dentistry |
| DN21119 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicklaus Children'S Hospital | Student in an Organized Health Care Education/Training Program | Current |
Accepting new patients |
Locations
3601 NW 107th Ave
Fl 3
Doral, FL 33178
Phone (305) 418-7771
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 058293-1 | NY | |
| Pediatric Dentistry | 1223P0221X | DN21119 | FL | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DN 21119 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | DN21119 | FL |
Addresses
Primary practice location
5710 US Highway 98 N
Lakeland, FL 33809-3108
Mailing address
10065 NW 46TH St Apt 204
Doral, FL 33178-2284
Phone (907) 544-6205
Other practice location 1
111 E 210th St
Bronx, NY 10467
Phone (718) 920-4321
Other practice location 2
1000 Woodcock Rd Ste 120
Orlando, FL 32803-3509
Phone (407) 792-1968
Other practice location 3
3601 NW 107th Ave Fl 3
Doral, FL 33178-4377
Phone (305) 418-7771
Other names
- Angelina Miosotis Gomez Tejada
Other providers in Lakeland, FL
- Johanna Acosta
- Action Home Care Inc.
- Jose Luis Acuna
- Acwf
- Adak Enterprises PLLC
- Alauna A Adams
- Robyn Nicole Adams
- Adaptive Medical Solutions, Inc.
- Michael A Addonizio
- Joshua O Adebusuyi
All providers in Lakeland, FL · Pediatric Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.