LISA M MA (DMD) – General Practice Dentistry, NPI 1649653957

LISA M MA (DMD) is a healthcare provider. based in Odessa, Florida. specializing in General Practice Dentistry. They hold the professional credentials DMD. They hold a License No. DN 21326 (FL). The NPI Number for LISA M MA (DMD) is 1649653957

Main info

Female
Name
LISA M MA (DMD)
NPI
1649653957
Phone
(305) 335-2252
Address
8529 GUNN HWY
Enumeration Date
6 July 2015
Last Update Date
17 August 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for LISA M MA (DMD)

  • 8529 GUNN HWY

    ODESSA, FL 335563288

    Phone: (305) 335-2252

    Type: Mailing

  • 5347 N SOCRUM LOOP RD

    LAKELAND, FL 338094256

    Phone: (863) 606-5721

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $317.

Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: PULPDENT CORPORATION ($107).

Total Amount

$317

General + Research + Ownership

Payments

9

Total payment records

General Amount

$317

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-27

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33556)

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Reviews

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Frequently asked questions

How do payers reference LISA M MA (DMD)?
For LISA M MA (DMD), use NPI 1649653957 as the unique 10-digit identifier.
Is there an active status for LISA M MA (DMD)?
For scheduling context, LISA M MA (DMD) is shown as active in the registry.
What expertise is attributed to LISA M MA (DMD)?
LISA M MA (DMD)'s specialty line reads General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Is LISA M MA (DMD) associated with Odessa?
Public fields place LISA M MA (DMD) around Odessa, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for LISA M MA (DMD) is noted as July 6, 2015 where the registry provides it.

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