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NPISignal

Individual Healthcare Provider

Walmir Baldocchi Da Costa, DMD

NPI Record: ActiveDentist — Pediatric Dentistry
NPI1023539699
Eustis, Florida

Provider's NPPES record last updated: June 21, 2021

Overview

Entity Type
Individual Healthcare Provider
NPI
1023539699
Primary Specialty
Dentist — Pediatric Dentistry
Practice Location
Eustis, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:56 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    Pediatric Dentistry

    Dental Providers

    Primary

    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

    Taxonomy code 1223P0221X

Provider-Reported License Information

Dentist (Florida)
DN22582
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1340 E Orange Ave

Eustis, Florida 32726-4343

Phone: (352) 273-5440

Record Information

Enumeration Date
July 4, 2017
Provider's NPPES Record Last Updated
June 21, 2021
Certification Date
June 21, 2021
NPISignal NPPES Dataset
August 2026

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Incorrect provider information

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