DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKELAND MODERN DENTISTRY, PA

Active Organization

LAKELAND MODERN DENTISTRY, PA is a Dentist organization located in LAKELAND, Florida. NPI 1235649518 is currently active in the NPPES registry. Verify at CMS.

Dentist · LAKELAND, FL

Registration Details

NPI Number
1235649518
Provider Type
Organization
NPI Issued
Oct 2, 2017 (8.8388070828303 yrs)
Last Updated
Jun 15, 2022

Practice Information

Address
4620 S FLORIDA AVE STE 120
LAKELAND, FL, 338132166
Browse FL providers · Browse ZIP 33813
Phone
8632165765
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.