LAUREN LOURDES MANTILLA
NPI 1205682978
Dentist in Miami, FL

Active since April 24, 2024PECOS Enrolled
5607 NW 27TH AVE STE 2, MIAMI, FL 33142(305) 637-6400(305) 636-5155 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 3, 2025, Apr 24, 2024 (2 updates tracked since 2024).

About Lauren Lourdes Mantilla NPPES

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

LAUREN LOURDES MANTILLA (NPI 1205682978) is an individual dentist in Miami, Florida, licensed in Florida (DN29089) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Dentistry (2024).

NPPES Registry Identity

NPI1205682978
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameLAUREN LOURDES MANTILLA
Location Address5607 NW 27TH AVE STE 2Miami, FL 33142-2826
Mailing Address5607 Nw 27th Ave Ste 1Miami, FL 33142-2826 · (305) 805-1700 · Fax (305) 805-1715
Fax(305) 636-5155
Sole ProprietorYes
Medical School CMSHoward University College Of DentistryGraduated 2024
Enumeration DateApril 24, 2024
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
NPI 1205682978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in FL · DN29089
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.

5607 NW 27TH AVE STE 2, Miami, FL 33142

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lauren Lourdes Mantilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880190610
PECOS Enrollment IDI20251001001328
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33142 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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 15

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

Dentist (Pediatric Dentistry)
5607 NW 27TH AVE STE 2
MIAMI, FL 33142
Dentist (Oral and Maxillofacial Surgery)
5607 NW 27TH AVE STE 2
MIAMI, FL 33142
Dentist (General Practice)
5607 NW 27TH AVE STE 2
MIAMI, FL 33142
Dentist (Pediatric Dentistry)
5607 NW 27TH AVE STE 2
MIAMI, FL 33142
Dental Hygienist
5607 NW 27TH AVE STE 2
MIAMI, FL 33142
Dental Hygienist
5607 NW 27TH AVE STE 2
MIAMI, FL 33142
Dentist (General Practice)
5607 NW 27TH AVE STE 2
MIAMI, FL 33142
Clinic/Center (Federally Qualified Health Center (FQHC))
5607 NW 27TH AVE STE 2
MIAMI, FL 33142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205682978, enumerated as an "individual" on April 24, 2024.

The provider is located at 5607 NW 27TH AVE STE 2 MIAMI, FL 33142 and the phone number is (305) 637-6400.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama and Delta. Please consult your insurance carrier or call the provider to verify.