GRETTEL RECILLEZ LOPEZ DDS
NPI 1619329570
Dentist - General Practice in Jacksonville, FL

Q: What is Grettel Recillez Lopez's NPI number?

The NPI number for Grettel Recillez Lopez is 1619329570. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Q: What is Grettel Recillez Lopez's specialty?

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

Active since July 05, 2016PECOS Enrolled

5149 NORMANDY BLVD UNIT 4, JACKSONVILLE, FL 32205(904) 781-1201 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Grettel Recillez Lopez Dds NPPES

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

GRETTEL RECILLEZ LOPEZ DDS (NPI 1619329570) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN 22012) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619329570

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameGRETTEL RECILLEZ LOPEZCredential: DDS

Location Address5149 NORMANDY BLVD UNIT 4Jacksonville, FL 32205-4861

Mailing Address5149 Normandy Blvd Unit 4Jacksonville, FL 32205-4861

Phone(904) 781-1201

Sole ProprietorNo

Enumeration DateJuly 5, 2016

✔ NPI 1619329570 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 · DN 22012

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.

5149 NORMANDY BLVD UNIT 4, Jacksonville, FL 32205

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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)

Grettel Recillez Lopez Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32205 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.

Leave this field empty

Other Providers at the Same Location NPPES 9

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

VIBHUTI GARG DMD

Dentist (General Practice)