Martha Liliana Bedoya Leal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN29499 Issued in FL

Practice address

5064 Annunciation Cir
Ave Maria, FL 34142-9671

Phone

(239) 919-6930

NPI assigned

Jul 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1982339867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9242 SHADOW OAK LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341205270",
            "telephone_number": "239-777-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5064 ANNUNCIATION CIR",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429671",
            "telephone_number": "239-919-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOYA LEAL",
        "first_name": "MARTHA",
        "middle_name": "LILIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-23",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ave Maria Hearing, Inc
• Ave Maria Hospitalist Group LLC
• Ave Maria Optical
• Ave Maria Primary Care, LLC
• Ave Maria Speech Therapy & Napoli Therapy Services PA
• Maribel Benavides, LCSW
• Kailen Berry, ATC
• Birthing Journeys LLC
• Sharon Blair-Moxam, APRN
• Joyce Blatner, LCSW

• All providers in Ave Maria, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.