Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043065121 Individual Practitioner Male Practitioner

Dr. Richard Alexandro Bustamante , DMD

Dentist • Clermont, FL

Professional Overview & Biography Verified Profile Summary

Dr. Richard Bustamante, DMD is a registered healthcare professional specializing in Dentist in Clermont, FL. Practice services are available at 2612 S HWY 27 STE 600 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2612 S Hwy 27 Ste 600

Clermont, FL 347116521

Telephone 4079650090
Associated Practice Facility / Clinic
🏢 Ideal Dental Of Clermont Pllc Facility NPI 1568074193

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Clermont, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Clermont, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL 31917

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1629563531

Doctor of Dental Surgery

Evandro Luiz Garcia Da Silva

Dentist - General Practice

NPI 1871479998

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 07, 2026

Registered at 2612 S HWY 27 STE 600, CLERMONT, FL 347116521 (Tel: 4079650090)

📍
Updated Business Mailing Address July 07, 2026

Registered at 2612 S HWY 27 STE 600, CLERMONT, FL 347116521 (Tel: 4079650090)

👤
Provider Name / Credentials Updated July 07, 2026

Recorded as RICHARD BUSTAMANTE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2026

Dentist (License #31917 in FL)

NPI Profile Active April 22, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2024

Registered at 1 KNEELAND ST, BOSTON, MA 021111527 (Tel: 6176366828)

📍
Updated Business Mailing Address April 22, 2024

Registered at 1 KNEELAND ST, BOSTON, MA 021111527

👤
Provider Name / Credentials Updated April 22, 2024

Recorded as RICHARD BUSTAMANTE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 22, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043065121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2024
Last Update: July 07, 2026
Sole Proprietor: No

Mailing Address

2612 S Hwy 27 Ste 600

Clermont, FL 347116521

Phone: 4079650090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.