Ernesto Llerena, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

25085 Issued in FL

Practice address

3330 Capital Oaks Dr
Tallahassee, FL 32308-4513

Phone

(850) 386-4602

NPI assigned

Sep 21, 2020

Sex

Male

Sole proprietor

Yes

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

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.

• Smiles by Critchfield

  • General Practice Dentistry
  • Bonita Springs, FL
  • NPI 1306541875
  NPD
• Oral and Facial Surgery Center of Tallahassee

  • Oral and Maxillofacial Surgery (Dentist)
  • Tallahassee, FL
  • NPI 1770776155
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1801402326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28441 S TAMIAMI TRL STE 206",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343214",
            "telephone_number": "239-317-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CAPITAL OAKS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084513",
            "telephone_number": "850-386-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLERENA",
        "first_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Livwell Homecare LLC
• Haley B Llewellyn, RCSWI
• Tamalia Elfrida Lloyd, PHARMD
• Karen Faircloth Lockard, LCSW
• Virginia Leanne Lockey, AGACNP-BC
• Aaliyah Lockhart

• Dentist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.