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

Dr. Larisa Igorevna Macedo, DMD

Individual provider Dentist · NPI 1922670561

Dr. Larisa Igorevna Macedo, DMD is a Dentist in Bonita Springs, Florida. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

26831 S Tamiami Trl Unit 48
Bonita Springs, FL 34134-7828
Phone: (239) 948-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2021022228 (MO)

Record details

NPI number1922670561
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESJuly 15, 2023
Certification dateJuly 15, 2023

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