RAFAEL MARTINS AFONSO PEREIRA DDS, MS
NPI 1407540776
Dentist - Periodontics in Jacksonville, FL

Active since June 07, 2023
11512 LAKE MEAD AVE UNIT 532, JACKSONVILLE, FL 32256(904) 683-4781 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2025, Nov 3, 2025, Jun 8, 2023 (3 updates tracked since 2023).

About Rafael Martins Afonso Pereira Dds, Ms NPPES

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

RAFAEL MARTINS AFONSO PEREIRA DDS, MS (NPI 1407540776) is an individual periodontics provider in Jacksonville, Florida, licensed in Florida (DN30764) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1407540776
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameRAFAEL MARTINS AFONSO PEREIRACredential: DDS, MS
Location Address11512 LAKE MEAD AVE UNIT 532Jacksonville, FL 32256-9733
Mailing Address11512 Lake Mead Ave Unit 532Jacksonville, FL 32256-9733 · (904) 683-4781
Sole ProprietorNo
Enumeration DateJune 7, 2023
Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1407540776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in FL · DN30764
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License DN30764 (FL)
11512 LAKE MEAD AVE UNIT 532, Jacksonville, FL 32256

Other Names 1

Professional Name (2)Rafael Pereira Dds, Ms

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Periodontics)
11512 LAKE MEAD AVE UNIT 532
JACKSONVILLE, FL 32256

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 Rafael Martins Afonso Pereira's NPI number?

The NPI number for Rafael Martins Afonso Pereira is 1407540776. It was assigned to this individual provider in the NPPES registry on June 7, 2023. The provider is also known as Rafael Pereira Dds, Ms.

Where is Rafael Martins Afonso Pereira located?

Rafael Martins Afonso Pereira practices at 11512 Lake Mead Ave Unit 532, Jacksonville, FL 32256. The listed phone number is (904) 683-4781.

What is Rafael Martins Afonso Pereira's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Rafael Martins Afonso Pereira accept?

Health plans from Delta Dental of Michigan list Rafael Martins Afonso Pereira 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 Rafael Martins Afonso Pereira was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.