# ADVANCED DENTISTRY OF GAINESVILLE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528786514
- **Authorized official:** DR. MARTIN SEBASTIAN LALAMA DMD, MS (OWNER)
- **Authorized official phone:** (352) 376-7335

## Contact information

- **Practice address:** 4411 NW 8TH AVE STE A, GAINESVILLE, FL 32605-4520
- **Practice address phone:** (352) 376-7335
- **Mailing address:** 4411 NW 8TH AVE STE A, GAINESVILLE, FL 32605-4520
- **Mailing address phone:** (352) 376-7335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2022
- **Last updated:** 08/16/2022