DR. ENRIQUE LACUESTA D.D.S. NPI 1871656686

NPI Information

NPI: 1871656686
Provider Name: DR. ENRIQUE LACUESTA, D.D.S.
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
22-29TH STREET
SUITE A
GULFPORT, MS
ZIP 39507
Phone: (228) 868-9615
Get Directions

DR. Enrique Lacuesta, D.D.S. is a periodontics dentist in Gulfport, MS. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Enrique Lacuesta, D.D.S. NPI is 1871656686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22-29TH STREET
SUITE A
GULFPORT, MS
ZIP 39507
Phone: (228) 868-9615
Fax: (228) 868-9677

The enumeration date for this NPI number is 12/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	1758-77	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	755128	OTHER	MISSISSIPPI	UNITED CONCORDIA PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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