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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356978498

Nicholas Vincent Peracchio, DMD is a Student in an Organized Health Care Education/Training Program in Mount Dora, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2
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

2390 W Old 441 Ste 1
Mount Dora, FL 32757-3534
Phone: (860) 558-6535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1824 Madison Ave Fl 5, New York, NY 10035-3832 — (860) 558-6535

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 25712 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356978498
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022

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