NPIMap

Organization Active NPI

Dynamic Dental Health Associates of Florida, PA

Doing business as Gainesville Dental Associates

  • General Practice Dentistry
  • Gainesville, FL
National Provider Identifier
1972905222
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA
Doing business as
Gainesville Dental Associates
Practice address
908 NW 57TH St
Gainesville, FL 32605-6458
Phone
(352) 332-8199
Fax
(941) 332-7775
NPI assigned
Sep 18, 2014
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Rosa Lesso
Title
National Director of RCM
Phone
(714) 571-3471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

908 NW 57TH St
Gainesville, FL 32605-6458

Mailing address

9400 4TH St N Ste 200
St Petersburg, FL 33702-2501
Phone (727) 800-8026

Other names 1

  • Gainesville Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Dental Health Associates of Florida13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

908 NW 57th St
Gainesville, FL 32605
Phone (352) 332-8199

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1972905222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 4TH ST N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022501",
            "telephone_number": "727-800-8026",
            "fax_number": "727-339-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 NW 57TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056458",
            "telephone_number": "352-332-8199",
            "fax_number": "941-332-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "LESSO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR OF RCM",
        "authorized_official_telephone_number": "714-571-3471"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gainesville Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gainesville Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.