Nicholas Letteri, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN22832 Issued in FL

Practice address

3316 3Rd St S Ste 101
Jacksonville, FL 32250-6090

Phone

(904) 853-6888

NPI assigned

Mar 29, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Freedom Health HMO Network

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.

• Dentistry Onsite, LLC

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1962252973
  NPD Authorized official

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1992237937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 3RD ST S STE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506090",
            "telephone_number": "904-853-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 3RD ST S STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322506090",
            "telephone_number": "904-853-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTERI",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Let'S Start Growing LLC
• Letasha N Tookes
• Edward L Letellier, DO
• Francois Lette, M.D.
• Haley Parks Letter, M.D.
• Sharon Darlene Leukert, MA MFT
• Doretta Laiying Leung, MS, RD, LD/N
• Kitty Leung, M.D.
• Denise Marie Leveling, PHARM D
• Morgan Elizabeth Levenhagen, MD

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.