Active NPI
Alachua Dental, PLLC
- Dentist
- Alachua, FL
National Provider Identifier
1902790603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.
-
- Dentist
- Alachua, FL
- NPI 1508969932
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.