DR. ASHLEY AGNINI DALE DDS
NPI 1174228597
Dentist - General Practice in Lakeland, FL

Active since April 04, 2023Opted out of Medicare · through May 13, 2027
4744 S FLORIDA AVE, LAKELAND, FL 33813(863) 644-1226 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ashley Agnini Dale Dds NPPES

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

DR. ASHLEY AGNINI DALE DDS (NPI 1174228597) is an individual general practice provider in Lakeland, Florida, licensed in Florida (DN26923) and active in the NPI registry since April 2023. She has opted out of Medicare through May 13, 2027.

NPPES Registry Identity

NPI1174228597
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ASHLEY AGNINI DALECredential: DDS
Location Address4744 S FLORIDA AVELakeland, FL 33813-2181
Mailing Address214 Fernery Rd Fl 33809Lakeland, FL 33809-3520 · (863) 738-4932
Sole ProprietorYes
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
NPI 1174228597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN26923
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4744 S FLORIDA AVE, Lakeland, FL 33813

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Ashley Agnini Dale Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2025 through May 13, 2027.

Opt-Out Effective DateMay 13, 2025
Opt-Out In Effect ThroughMay 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813

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 Ashley Dale's NPI number?

The NPI number for Ashley Dale is 1174228597. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Ashley Dale located?

Ashley Dale practices at 4744 S Florida Ave, Lakeland, FL 33813. The listed phone number is (863) 644-1226.

What is Ashley Dale's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ashley Dale enrolled in Medicare?

No. Ashley Dale has opted out of Medicare through May 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ashley Dale accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Ashley Dale 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 Ashley Dale was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.