Magaly Gonzalez Poppell, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11670 Issued in FL

Practice address

758 N Sun Dr
Suite 100
Lake Mary, FL 32746-2599

Phone

(407) 804-9901

Fax

(407) 804-9902

NPI assigned

Jun 30, 2006

Sex

Female

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

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811925407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 MARKHAM GLEN CIR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792797",
            "telephone_number": "407-829-2047",
            "fax_number": "407-804-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 N SUN DR",
            "address_2": "SUITE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462599",
            "telephone_number": "407-804-9901",
            "fax_number": "407-804-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPELL",
        "first_name": "MAGALY",
        "middle_name": "GONZALEZ",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Alice Pochyly
• Monica Polakhare
• Nicholas Pontifex
• Amy Jo Poorman
• Crystal Pope
• Maria Engracia Porras Chacon
• Positive Changes 4 Women Inc
• Pothen Koruth MD LLC
• Yiny Poveda, LCSW
• Amari Powell

• General Practice Dentistry in Lake Mary, FL
• Providers in Lake Mary, 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 Jul 8, 2007; 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.