Individual
ALEXIS PISCITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
173 NW ALBRITTON LN, LAKE CITY, FL 32055-4451
(386) 752-5904
(352) 463-6271
Mailing address
23476 NW 186TH AVE, HIGH SPRINGS, FL 32643-0673
(386) 454-0698
(386) 454-0690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN31785
FL
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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