Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Gustavo De Oliveira DMD, PA

Organization Dentist · NPI 1215515085

Dr Gustavo De Oliveira DMD, PA is a Dentist in Orlando, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 E Lucerne Cir
Orlando, FL 32801-4401
Phone: (407) 425-4901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1215515085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gustavo De Oliveira — Owner · (407) 425-4901
Other names Lake Lucerne Lifestyle Dentistry
NPI enumeratedMarch 31, 2021
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021
Mailing address1407 Belmont Dr, Orlando, FL 32806-2402

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