FLORIDA MEDICAID ADULT PROVIDER DIRECTORY / DIRECTORIO DE PROVEEDORES Member Services / Servicios para miembros : (833) 276-0850 M-T 8am - 5pm • Inhalation Sedation ALACHUA COUNTY # FQHC010440 W-F 8am - 5pm # 011246 Aza Health # DN21933 Vu, Clara* DENTIST Gainesville Dental Center 410 Ne Waldo Road General Dentist servicing as: Gainesville, FL 32641 4000 West Newberry Road, Ste # RHC010936 Pediatric Dentistry (352) 375-3790 NPI: 1235589482 LIC: DN21933 E Acorn Clinic Gainesville, FL 32607 Special Needs: Yes CERTIFICATIONS: 23320 N. State Rd, Ste 235 English, Spanish • Inhalation Sedation (352) 378-3131 Brooker, FL 32622 M-T 8am - 5pm Special Needs: Yes (352) 485-2772 W-F 8am - 5pm # CHC017031 English, Arabic Special Needs: Yes DOH - Alachua County M-T 9am - 5pm # DN15770 Halady, Pratima English, Spanish, Gujarati General Dentist servicing as: Health Department # DN9531 Attia, Safwat* M-T 8am - 4pm Pediatric Dentistry 224 Se 24Th St NPI: 1952311730 LIC: DN9531 W-Th 8am - 4pm NPI: 1720256811 LIC: DN15770 Gainesville, FL 32641 # DN8024 Aguirre, Michael (352) 334-8839 # 010755 # DN25141FL Le, Lynn NPI: 1740388800 LIC: DN8024 Special Needs: Yes University of Florida College NPI: 1336750470 LIC: DN25141FL English, Spanish # DN18987 Bhakta, Paayal of Dentistry # DN20873 Lopez, Melvin M-T 8am - 5pm 1600 Sw Archer Road NPI: 1033439823 LIC: DN18987 General Dentist servicing as: W-F 8am - 5pm Gainesville, FL 32610 # DN9374 Hsiung, Edwin Pediatric Dentistry # DN19484 Jones, Stephanie* www.dental.ufl.edu NPI: 1417389586 LIC: DN9374 NPI: 1689081242 LIC: DN20873 NPI: 1548549678 LIC: DN19484 (352) 273-6731 # DN19484 Jones, Stephanie # DN16033FL Nguyen, Daniel Special Needs: Yes # DN21933 Vu, Clara* NPI: 1134238892 LIC: DN16033FL English, Other NPI: 1548549678 LIC: DN19484 General Dentist servicing as: M-T 8am - 5pm # DN21295 Luaces, Olga # DN20946FL Nguyen, David Pediatric Dentistry W-F 8am - 5pm NPI: 1407237555 LIC: DN21295 NPI: 1811398423 LIC: DN20946FL NPI: 1235589482 LIC: DN21933 CERTIFICATIONS: # DN14714 Barnes, David # DN6188 Witt, William # DN12941 Pairot, Alfredo • Inhalation Sedation NPI: 1467667451 LIC: DN14714 NPI: 1417987967 LIC: DN6188 General Dentist servicing as: Pediatric Dentistry # DN18661 Whitford, Drew* # DN24628FL Bauman, Eric # 010980 NPI: 1932174448 LIC: DN12941 NPI: 1851527303 LIC: DN18661 NPI: 1114017209 LIC: DN24628FL CERTIFICATIONS: Affordable Dentures - # DN20886 Wells, Rachelle # DN7077 Benjamin, Paul • Inhalation Sedation Gainesville, P.A. NPI: 1588858286 LIC: DN20886 NPI: 1225057128 LIC: DN7077 9200 Nw 39Th Ave, Ste 200 CERTIFICATIONS: # 010934 # DTP675 Camargo, Carlos Gainesville, FL 32606 • Inhalation Sedation Edwin F. Johary, DDS NPI: 1518459312 LIC: DTP675 (352) 376-8229 1831 Nw 13Th Street, Ste #4 Special Needs: Yes # CHC014623 # DN8382 Cook, Larry Gainesville, FL 32609 English DOH - Alachua County NPI: 1902813777 LIC: DN8382 (352) 377-0360 M-T 7:45 am - 3pm Health Department Special Needs: Yes # DN20352FL Corasro, Andrew W-F 7:45 am - 3pm 816 Sw 64Th Terrance English, Spanish NPI: 1144656232 LIC: DN20352FL Gainesville, FL 32607 # DN6996 Showstark, Stephan W-F 9am - 5pm (352) 334-8839 # DTP630 Delgado Caraballo, NPI: 1639266562 LIC: DN6996 Special Needs: Yes # DN15990 Johary, Edwin* Maria # DN6188 Witt, William English, Russian, Bulgarian, NPI: 1609916899 LIC: DN15990 NPI: 1003274002 LIC: DTP630 NPI: 1417987967 LIC: DN6188 German, Italian, Spanish CERTIFICATIONS: # DTP603 Delgado, Alejandro LIBERTY Dental Plan network provider rating is based on quality measures and service. Overall ratings range from 1 star to 5 stars, with the more stars shows higher quality. The provider directory is subject to change without notice. August, 2021 Languages spoken by the offices are reported. The languages are not verified by LIBERTY Dental Plan. If you need to access LIBERTY’s free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com/FLMedicaid. El directorio de proveedores está sujeto a cambios sin previo aviso. Los idiomas que se hablan en las oficinas seran reportados. Los idiomas no son verificados por LIBERTY Dental Plan. Si necesita usar los servicios gratuitos de interpretación de LIBERTY, llame al número que aparece en su tarjeta de identificación. Para ver los proveedores actuales, visite nuestro sitio web, www.libertydentalplan.com/FLMedicaid. Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de ruedas. * Page 1 of 86 Weekend and Holiday availability by appointment only / Disponibilidad de fines de semana y días festivos solo con cita previa. 08/24/2021 v2(2020) FLORIDA MEDICAID ADULT PROVIDER DIRECTORY / DIRECTORIO DE PROVEEDORES Member Services / Servicios para miembros : (833) 276-0850 NPI: 1669887485 LIC: DTP603 NPI: 1437535218 LIC: DTP612 # DTP664 Freburg-Hoffmeister, # DTP439 O'Neill, Edgar # DTP639 Dias Ribeiro, Ana # DTP683 Reis, Andre Danielle NPI: 1235195413 LIC: DTP439 NPI: 1447545132 LIC: DTP664 NPI: 1053860924 LIC: DTP639 NPI: 1891278768 LIC: DTP683 BAY COUNTY CERTIFICATIONS: # DN13471 Dilbone, Deborah # DN14930 Rey, Rosalia • Inhalation Sedation NPI: 1104882497 LIC: DN13471 NPI: 1346341443 LIC: DN14930 DENTIST # DTP709 Gohel, Anita # DN16318 Djuric, Amira # DTP490 Ribeiro-DaSilva, NPI: 1841563947 LIC: DTP709 # FQHC022012 NPI: 1033291471 LIC: DN16318 Margarete # DN19786 Hamrick, Clayton PanCare of Florida NPI: 1326228321 LIC: DTP490 # DN8807FL Garvey, Timothy NPI: 1548523665 LIC: DN19786 12427 Hwy 231 NPI: 1205892296 LIC: DN8807FL # DTP703 Rocha, Mateus # DN12910 Hardeman, John Youngstown, FL 32466 NPI: 1376193060 LIC: DTP703 # DTP400 Gibbs, Micaela NPI: 1447343918 LIC: DN12910 (850) 753-3246 # DTP562 Roulet, Jean-Francois Special Needs: Yes NPI: 1902862469 LIC: DTP400 CERTIFICATIONS: NPI: 1831539816 LIC: DTP562 English # DTP710 Gohel, Rajendra • Inhalation Sedation • General Anesthesia M-T 8am - 5pm NPI: 1912071754 LIC: DTP710 # DTP669 Sikand, Rebecca • Board Certification W-F 8am - 5pm NPI: 1942654546 LIC: DTP669 # DTP680 Guha, Upoma # DTP718 Vyas, Rutvi # DN10365FL Barry, Steven NPI: 1184153132 LIC: DTP680 # DTP645 Silva, Maria NPI: 1710463013 LIC: DTP718 NPI: 1497826531 LIC: DN10365FL NPI: 1932452547 LIC: DTP645 # DN7710 Haddix, James # DN19128 Claussen, Meghann NPI: 1336105709 LIC: DN7710 # DTP652 Soto, Annetty PERIODONTICS NPI: 1336454651 LIC: DN19128 NPI: 1780024315 LIC: DTP652 # DTP672 Haddock, Fernando # DTP606 Chang, Jia # DN25097 Haynam, Eric NPI: 1477531234 LIC: DTP672 # DN22024 Terza, Stephanni NPI: 1871862029 LIC: DTP606 NPI: 1043688831 LIC: DN25097 NPI: 1588014591 LIC: DN22024 # DN9870 Kaleel, Nicholas # DTP687 Duarte Reis, Poliana # DN13094 Hudon, Richard NPI: 1447258991 LIC: DN9870 NPI: 1619448677 LIC: DTP687 ENDODONTICS NPI: 1245336031 LIC: DN13094 # DN21295 Luaces, Olga # DTP638 Duarte, Wagner # DTP654 Bakiri, Eleonora # DN21740 Moffa, Michelle NPI: 1407237555 LIC: DN21295 NPI: 1407305022 LIC: DTP638 NPI: 1952834418 LIC: DTP654 General Dentist servicing as: # DTP659 Migliorati, Cesar # DN21876 Schey, Karin # DN14544 Cerrud, Clinio NPI: 1841277407 LIC: DN21740 NPI: 1992810519 LIC: DTP659 NPI: 1285086173 LIC: DN21876 NPI: 1629184676 LIC: DN14544 # DN19745 Norton, Andrew CERTIFICATIONS: # DTP690 Tanaka, Tsuyoshi CERTIFICATIONS: NPI: 1861754020 LIC: DN19745 • Inhalation Sedation • Inhalation Sedation NPI: 1407208853 LIC: DTP690 # DTP497 Nascimento, Marcelle # DN18871 Pate, Sheena # DTP450 Pileggi, Roberta NPI: 1275706426 LIC: DTP497 PROSTHODONTICS General Dentist servicing as: NPI: 1356393821 LIC: DTP450 Pediatric Dentistry # DTP702 Oliveira, Dayane CERTIFICATIONS: # DTP722FL Cabrera da Silva, NPI: 1215255880 LIC: DN18871 NPI: 1487204178 LIC: DTP702 • Inhalation Sedation Alexandre # DN21660 Piorkowski, Gary • Board Certification NPI: 1962004408 LIC: DTP722FL # DN16197 Orlando, Joseph General Dentist servicing as: NPI 1326176389 LIC: DN16197 # DTP390 Echeto, Luisa : ORAL SURGEON NPI: 1699705434 LIC: DN21660 # DN8944 Ottenga, Marc NPI: 1144286386 LIC: DTP390 # DTP232 Dolwick, Melvin # DN23084 Santos, Iris NPI: 1306802293 LIC: DN8944 # DTP467 Esquivel-Upshaw, NPI: 1659337590 LIC: DTP232 NPI: 1487875233 LIC: DN23084 CERTIFICATIONS: Josephine CERTIFICATIONS: # HAD69 Smith, Amy • Inhalation Sedation NPI 1760495527 LIC: DTP467 • Inhalation Sedation : NPI: 1831209899 LIC: HAD69 # DTP612 Pereira, Patricia • Board Certification LIBERTY Dental Plan network provider rating is based on quality measures and service. Overall ratings range from 1 star to 5 stars, with the more stars shows higher quality. The provider directory is subject to change without notice. August, 2021 Languages spoken by the offices are reported. The languages are not verified by LIBERTY Dental Plan. If you need to access LIBERTY’s free interpretation services please call the number listed on your ID card. To view current providers, please visit our website, www.libertydentalplan.com/FLMedicaid. El directorio de proveedores está sujeto a cambios sin previo aviso. Los idiomas que se hablan en las oficinas seran reportados. Los idiomas no son verificados por LIBERTY Dental Plan. Si necesita usar los servicios gratuitos de interpretación de LIBERTY, llame al número que aparece en su tarjeta de identificación. Para ver los proveedores actuales, visite nuestro sitio web, www.libertydentalplan.com/FLMedicaid. Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de ruedas. * Page 2 of 86 Weekend and Holiday availability by