Claudio Marcantonio, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23399 Issued in FL

Practice address

13700 N US Highway 441
Lady Lake, FL 32159-8980

Phone

(352) 259-0822

NPI assigned

Mar 17, 2022

Last updated

Jul 17, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marcantonio Dental USA, Corp

  • Dental Clinic/Center
  • Boca Raton, FL
  • NPI 1275343220
  NPD
• Marion Dental Group

  • Dentist
  • Lady Lake, FL
  • NPI 1942322672
  NPD (past)

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1710635701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 N US HIGHWAY 441",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598980",
            "telephone_number": "352-259-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 N US HIGHWAY 441",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598980",
            "telephone_number": "352-259-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANTONIO",
        "first_name": "CLAUDIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "23399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc (Target Optical #Q760)
• M & M Rehab., Inc. (Mid-Florida Prosthetics & Orthotics)
• Roberto Castillo Macairan, APRN
• Richard Macleod, LMT
• Magdy Falestiny LLC
• Marion Dental Group (Lady Lake Endodontics)
• Marion Dental Group
• Scott Markham, PT
• Alexzandria Dwan Marotta, ARNP
• Doracelis Gisselle Marti Reyes, DOULA

• General Practice Dentistry in Lady Lake, FL
• Providers in Lady Lake, 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 17, 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.