Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174376677 Individual Practitioner Male Practitioner

Roberto Daniel Laricchia Suppa

Dentist • Oviedo, FL

Professional Overview & Biography Verified Profile Summary

Roberto Laricchia Suppa is a registered healthcare professional specializing in Dentist in Oviedo, FL. Practice services are available at 4250 ALAFAYA TRL STE 180 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4250 Alafaya Trl Ste 180

Oviedo, FL 327659419

Telephone 4073591960
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Oviedo, FL

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

Practicing in Oviedo, 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: 2026-07-20
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN32241

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License OH RES.004728

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. David Lach , DDS, MS, PA

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1881759470

Doctor of Dental Surgery, Master of Science, Physician Assistant

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 20, 2026

Registered at 4250 ALAFAYA TRL STE 180, OVIEDO, FL 327659419 (Tel: 4073591960)

📍
Updated Business Mailing Address July 20, 2026

Registered at 4250 ALAFAYA TRL STE 180, OVIEDO, FL 327659419 (Tel: 4073591960)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2024

Student in an Organized Health Care Education/Training Program (License #RES.004728 in OH)

NPI Profile Active April 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2024

Registered at 4071 LEE RD STE 260, CLEVELAND, OH 441282173 (Tel: 2167270234)

📍
Updated Business Mailing Address April 25, 2024

Registered at 4071 LEE RD STE 260, CLEVELAND, OH 441282173 (Tel: 2167270234)

👤
Provider Name / Credentials Updated April 25, 2024

Recorded as ROBERTO LARICCHIA SUPPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 08, 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: 1174376677
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2024
Last Update: July 20, 2026
Sole Proprietor: Yes

Mailing Address

4250 Alafaya Trl Ste 180

Oviedo, FL 327659419

Phone: 4073591960

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.