Active NPI
Amazing Smiles Dental Centers LLC
- General Practice Dentistry
- Lake City, FL
National Provider Identifier
1760323398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AMAZING SMILES DENTAL CENTERS LLC
- Practice address
- 857 SW Main Blvd Ste 105
Lake City, FL 32025-5796 - Phone
- (386) 755-7010
- NPI assigned
- Apr 6, 2026
- Last updated
- Apr 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yevah Cueto, DDS
- Title
- Doctor/Owner
- Phone
- (904) 616-8253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
857 SW Main Blvd Ste 105
Lake City, FL 32025-5796
Mailing address
6960 Bonneval Rd Ste 102
Jacksonville, FL 32216-4045
National Provider Directory
National Provider DirectoryLocations
6960 Bonneval Rd
Ste 102
Jacksonville, FL 32216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1760323398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6960 BONNEVAL RD STE 102",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 SW MAIN BLVD STE 105",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320255796",
"telephone_number": "386-755-7010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING SMILES DENTAL CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-06",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "CUETO",
"authorized_official_first_name": "YEVAH",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "904-616-8253",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.