Organization Active NPI

Alachua Dental, PLLC

  • Dentist
  • Alachua, FL
National Provider Identifier
1902790603
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALACHUA DENTAL, PLLC
Practice address
14211 NW 150TH Ave
Alachua, FL 32615-8537
Phone
(386) 462-4635
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Haley Needham
Title
Insurance Coordinator
Phone
(386) 462-4635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

14211 NW 150TH Ave
Alachua, FL 32615-8537

Mailing address

3909 Newberry Rd Ste G
Gainesville, FL 32607-2367

National Provider Directory

National Provider Directory

Locations

14211 NW 150th Ave
Alachua, FL 32615
Phone (386) 462-4635

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1902790603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 NEWBERRY RD STE G",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14211 NW 150TH AVE",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326158537",
            "telephone_number": "386-462-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALACHUA DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "NEEDHAM",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "386-462-4635"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alachua, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.