DR. LARISA IGOREVNA MACEDO DMD
NPI 1922670561
Dentist in Bonita Springs, FL

Q: What is Larisa Macedo's NPI number?

The NPI number for Larisa Macedo is 1922670561. It was assigned to this individual provider in the NPPES registry on July 13, 2021. The provider is also known as Larisa Igorevna Mironova.

Q: What is Larisa Macedo'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 Larisa Macedo was last updated on July 15, 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.

Active since July 13, 2021

26831 S TAMIAMI TRL UNIT 48, BONITA SPRINGS, FL 34134(239) 948-3200 Get Directions Write a Review

NPPES record last updated: July 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2023, Jul 13, 2021 (2 updates tracked since 2021).

On this page

About Dr. Larisa Igorevna Macedo Dmd NPPES

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

DR. LARISA IGOREVNA MACEDO DMD (NPI 1922670561) is an individual dentist in Bonita Springs, Florida, licensed in Missouri (2021022228) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1922670561

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. LARISA IGOREVNA MACEDOCredential: DMD

Location Address26831 S TAMIAMI TRL UNIT 48Bonita Springs, FL 34134-7828

Mailing Address2411 Fryer PtFort Lauderdale, FL 33305-2722 · (312) 826-9218

Phone(239) 948-3200

Sole ProprietorNo

Enumeration DateJuly 13, 2021

Last NPPES UpdateJuly 15, 20232 updates tracked since enumeration

NPPES CertifiedJuly 15, 2023

✔ NPI 1922670561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2021022228

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.

26831 S TAMIAMI TRL UNIT 48, Bonita Springs, FL 34134

Open in Google Maps ↗

Other Names 1

Former Name (1)Larisa Igorevna Mironova

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

SOPHIA PIERRE PIERRE PHILIPPE

Dental Hygienist