IndividualActive
Enrique Lacuesta, D.D.S.
NPI 1871656686 · Periodontics · Gulfport, MS
Provider details
- NPI number
- 1871656686
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1758-77 (MS)
Specialties & taxonomies
Dental Providers
Practice location
22-29th Street
Suite a
Gulfport, MS 39507
Phone: (228) 868-9615
Fax: (228) 868-9677
Approximate (ZIP-level) locationGet directions
Mailing address
22-29th Street
Gulfport, MS 39507
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.