Abelardo Heredia Laurencio, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21839 Issued in FL

Practice address

14267 Mindello Dr
Fort Myers, FL 33905-5685

Phone

(786) 498-8451

NPI assigned

Mar 24, 2014

Last updated

Jan 5, 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

Other names 1

• Mr. Abelardo Heredia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• H&H Smile DDS, PA

  dba PureSmile Hub

  • Dental Clinic/Center
  • Fort Myers, FL
  • NPI 1891565057
  NPD Authorized official

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1760809149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14267 MINDELLO DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055685",
            "telephone_number": "786-498-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14267 MINDELLO DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055685",
            "telephone_number": "786-498-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREDIA LAURENCIO",
        "first_name": "ABELARDO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "21839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABELARDO",
            "last_name": "HEREDIA",
            "prefix": "MR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Henry, MS, ATC
• Haria Henry, MD
• Rachel Henshaw, ARNP
• Colleen Hentz, LCSW
• Pierre R Herard, M.D.
• Christy Elizabeth Heredia
• Dayris Heredia, MSN, APRN, FNP-C
• Heritage Dental P.a.
• Rosemary Herlihy, DDS
• Greyti Hernandez Bermudez

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, 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 Jan 5, 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.