Individual provider · Type 1 NPI

Ludmila Botelho

General Practice Dentistry · St. Augustie, FL

NPI number 1992663769 Active

Practice location

7440 Route 1, Suite 104
St. Augustie, FL 32095

Mailing address

1031 Saltwater Cir
St. Augustine, FL 32080-6306

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN32535 (FL)

General Practice Dentistry: 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.

About NPI 1992663769

Ludmila Botelho's National Provider Identifier is 1992663769, issued on Jan 12, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Augustie, FL. The record was last updated on Sep 10, 2026.