Individual provider Active NPI

Evandro Luiz Garcia Da Silva

  • General Practice Dentistry
  • Clermont, FL
National Provider Identifier
1871479998
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30781 Issued in FL
Practice address
2612 S Hwy 27 Ste 600
Clermont, FL 34711-6521
Phone
(407) 965-0090
NPI assigned
Aug 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30781 FL Primary

Addresses

Primary practice location

2612 S Hwy 27 Ste 600
Clermont, FL 34711-6521

Mailing address

2252 Hen Rd
Minneola, FL 34715-6140
Phone (407) 779-9296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30781FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Dental of Clermont PLLC General Practice CurrentSince Aug 17, 2025 Accepting new patients

Locations

2612 S Highway 27
Ste 600
Clermont, FL 34711
Phone (407) 965-0090

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1871479998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 HEN RD",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347156140",
            "telephone_number": "407-779-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 S HWY 27 STE 600",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116521",
            "telephone_number": "407-965-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA DA SILVA",
        "first_name": "EVANDRO LUIZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "30781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.