Healthcare Provider Details

I. General information

NPI: 1952032484
Provider Name (Legal Business Name): PROKOPIOS ARGYRIS DDS, MS, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-0425
US

IV. Provider business mailing address

PO BOX 100425
GAINESVILLE FL
32610-0425
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-6700
  • Fax: 352-392-3070
Mailing address:
  • Phone: 352-273-6700
  • Fax: 352-392-3070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number018.002297
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License NumberRES.004481
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License NumberDTP880
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: