Yamile Villavicencio, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN26353 Issued in FL

Practice address

4125 Cleveland Ave Ste 1430
Fort Myers, FL 33901-9073

Phone

(239) 939-9050

NPI assigned

Apr 10, 2019

Sex

Female

Sole proprietor

No

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

Networks

• Freedom Health HMO Network

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.

• Smile Innovations Dentistry Corp

  • General Practice Dentistry
  • Fort Myers, FL
  • NPI 1578312302
  NPD Authorized official

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1831652411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 NW 20TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339932931",
            "telephone_number": "239-233-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 CLEVELAND AVE STE 1430",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019073",
            "telephone_number": "239-939-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAVICENCIO",
        "first_name": "YAMILE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijay Ganatra, M.D., P.a.
• Daniela Vilanova
• Thalia Marie Vilella
• Villa Palms Assisted Living LLC
• Ryandell De Vera Villaflor, PT
• Amy Villegas, RN
• Madelaine Judith Vilme, MD
• Barrie Nicole Vilnius, OTR/L
• Noelle Lucia Vinciguerra
• Reanna Vinciguerra, MA

• Dentist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; 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.