Dr. Enrique Lacuesta is a Gulfport, Mississippi based Periodontics who is specialized in
Periodontology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Enrique Lacuesta is
1758-77 for Periodontology in Mississippi. His current practice location is
22-29th Street, Suite A, Gulfport. Patients can reach him at
228-868-9615.
Dr. Enrique Lacuesta is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Profile:
Dr. Enrique Lacuesta speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Enrique Lacuesta |
| Specialization: | Periodontics |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 22-29th Street, Suite A, Gulfport,
Mississippi, 39507 |
| Phone: | 228-868-9615 |
| Fax: | 228-868-9677 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1871656686 |
| NPI Enumeration Date: | 19 Dec, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Enrique Lacuesta are as mentioned below.
| License Number | Specialization | State | Status | |
| 1758-77 | Periodontology | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Enrique Lacuesta such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 755128 | Other | Mississippi | UNITED CONCORDIA PROVIDER |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 22-29th Street, Suite A
Gulfport, Mississippi |
| Zip: | 39507 |
| Phone Number: | 228-868-9615 |
| Fax Number: | 228-868-9677 |
Patients can reach Dr. Enrique Lacuesta at
22-29th Street, Suite A, Gulfport, Mississippi or can
call to book an appointment on 228-868-9615.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.