Leonides Sandoval DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN13000 Issued in FL

Legal business name

LEONIDES SANDOVAL DDS PA

Doing business as

Alta Dental Group

Practice address

813 Douglas Ave Suite 5
Altamonte Springs, FL 32714-2008

Phone

(407) 774-9872

Fax

(407) 774-7867

NPI assigned

Apr 1, 2008

Last updated

Apr 1, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Leonides Sandoval, DDSNPI 1265854889

Title

President

Phone

(407) 774-9872

Specialties & licenses 1

Addresses

Other names 1

• Alta Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonides Sandoval

  • Dentist
  • Altamonte Springs, FL
  • NPI 1265854889
  NPD (past) Authorized official

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1841462777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 DOUGLAS AVENUE SUITE 5",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142008",
            "telephone_number": "407-774-9872",
            "fax_number": "407-774-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 DOUGLAS AVE SUITE 5",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142008",
            "telephone_number": "407-774-9872",
            "fax_number": "407-774-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONIDES SANDOVAL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "LEONIDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-774-9872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee M. Cote, Jr., D.M.D., PLLC
• Felicity Lee-Shanok, RPH, CP
• Antony A Lee, DMD
• Mai Nou Lee, PA-C
• Kim Leone, ADMINISTRATOR
• George Luis Leonor Lopez, M.D.
• Bradford Querido Levine, D.C.
• Steven Levine, D.C.
• Bradford Scott Levison, MD
• Jahn Gillian Levy

• Dentist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.