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

Maite Lestayo, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740029933

Maite Lestayo, DMD is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Licensed in Florida, Georgia and South Carolina. Registered with an NPI since 2024.

Licensed in
FL, GA, SC
In the registry since
2024
Specialties on file
3
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

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-0211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence DN29212 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DN123620 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DGD.10958 (SC)

Record details

NPI number1740029933
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address1056 Trinity Pl, North Augusta, SC 29860-8031

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