MAURICIO ANTEZANA
NPI 1063876399
Dentist in Atlantis, FL

Q: What is Mauricio Antezana's NPI number?

The NPI number for Mauricio Antezana is 1063876399. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Q: What is Mauricio Antezana's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Mauricio Antezana was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2016

115 JOHN F KENNEDY DR, ATLANTIS, FL 33462(561) 967-3513 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 6, 2017 (3 updates tracked since 2017).

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About Mauricio Antezana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAURICIO ANTEZANA (NPI 1063876399) is an individual dentist in Atlantis, Florida, licensed in Florida (DN22246) and active in the NPI registry since April 2016. He maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1063876399

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMAURICIO ANTEZANA

Location Address115 JOHN F KENNEDY DRAtlantis, FL 33462-1152

Mailing Address12188 Sag Harbor Ct Apt 5Wellington, FL 33414-5529 · (561) 289-9112

Phone(561) 967-3513

Sole ProprietorYes

Enumeration DateApril 12, 2016

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1063876399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN22246

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

115 JOHN F KENNEDY DR, Atlantis, FL 33462

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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMIE JOHN LA VIOLA D.M.D.

Dentist

115 JOHN F KENNEDY DR, SUITE B
ATLANTIS, FL 33462

Palm Beach County (561) 967-3513

DR. JOSEPH JOHN LA VIOLA D.M.D.

Dentist

115 JOHN F KENNEDY DR, SUITE B
ATLANTIS, FL 33462

Palm Beach County (561) 967-3513

JEROME B. VINCENTE M.D.

Hospitalist

115 JOHN F KENNEDY DR
ATLANTIS, FL 33462

Palm Beach County (561) 967-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mauricio Antezana's NPI number?

The NPI number for Mauricio Antezana is 1063876399. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Mauricio Antezana located?

Mauricio Antezana practices at 115 John F Kennedy Dr, Atlantis, FL 33462. The listed phone number is (561) 967-3513.

What is Mauricio Antezana's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mauricio Antezana accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 14 other insurers list Mauricio Antezana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mauricio Antezana was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.