Provider Demographics
NPI:1710431234
Name:LEMUS, ANALIDYS (DMD)
Entity Type:Individual
Prefix:
First Name:ANALIDYS
Middle Name:
Last Name:LEMUS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5810 CORAL RIDGE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3375
Mailing Address - Country:US
Mailing Address - Phone:786-525-5217
Mailing Address - Fax:305-264-0595
Practice Address - Street 1:6741 SW 24TH ST
Practice Address - Street 2:SUITE 14
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1762
Practice Address - Country:US
Practice Address - Phone:305-264-0747
Practice Address - Fax:305-264-0595
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN22160122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist