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

Lucelia Santos Avila, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164113106

Lucelia Santos Avila, DDS is a Student in an Organized Health Care Education/Training Program in Fort Pierce, Florida. Works from 2 locations. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2023
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2505 S Federal Hwy
Fort Pierce, FL 34982-5922
Phone: (772) 464-4646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4422 3rd Ave, Bronx, NY 10457-2545 — (718) 960-6619

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN28677 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1164113106
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address11205 Sw Northland Dr, Port Saint Lucie, FL 34987-1937

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