Organization Active NPI

Amazing Smiles Dental Centers LLC

  • General Practice Dentistry
  • Lake City, FL
National Provider Identifier
1760323398
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.