Active NPI
Evandro Luiz Garcia Da Silva
- General Practice Dentistry
- Clermont, FL
National Provider Identifier
1871479998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30781
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30781 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Dental of Clermont PLLC | General Practice | Current | 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.