Gretel Perez Lopez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24985 Issued in FL

Practice address

351 W Marion Ave
Punta Gorda, FL 33950-4436

Phone

(941) 637-0101

NPI assigned

Jun 17, 2020

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

Practice roles

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.

• NLD Specialists PLLC

  • Endodontics
  • Jacksonville, FL
  • NPI 1891599965

  General Practice

  NPD (past)
• Normandy Dentistry

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1306891213
  NPD (past)

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1821614728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9974 BISHOP CREEK WAY",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505345",
            "telephone_number": "561-358-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W MARION AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504436",
            "telephone_number": "941-637-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Jones St Apt 316",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071033842",
            "country_code": "US",
            "telephone_number": "561-358-4802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ LOPEZ",
        "first_name": "GRETEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peaceful Harbor Gynecology
• Daniel S Pena-Ruggio, CNA
• Lumys Pena
• Cindy L Peplinski, CLINICIAN
• Kristen M Frazier Percent, ARNP
• Alexa Perkins
• Jennifer D Perkins, ARNP
• A Perrin Peterson, ACSW, LCSW
• Petrija Jen DO PA
• Gregory Philactos

• General Practice Dentistry in Punta Gorda, FL
• Providers in Punta Gorda, 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 Nov 9, 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.