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

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 and National Provider Directory roles.

• H&H Smile DDS, PA

  • 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.