MEDICARE: ARIANNA PELAEZ LEON DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN27940	FL

General Provider Information

NPI Number	:	1518643717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANNA PELAEZ LEON DMD

Provider Business Mailing Address
First Line	:	9010 STRADA STELL CT STE 101
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-4425
Country	:	US
Telephone Number	:	786-899-9415
Fax Number	:

Provider Business Practice Location Address
First Line	:	9010 STRADA STELL CT STE 101
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-4425
Country	:	US
Telephone Number	:	239-254-4480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2023
Last Update Date	:	12/01/2025

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