Organization · Type 2 NPI

MDM of Lakeland PA

General Practice Dentistry · Lakeland, FL

NPI number 1295006641 Active

Practice location

2153 E County Road 540A
Lakeland, FL 33813-3794

Call (863) 709-1903 Map

Fax (863) 709-8833

Mailing address

701 S Howard Ave Ste 106-386
Tampa, FL 33606-2473

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN18829 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1295006641

MDM of Lakeland PA's National Provider Identifier is 1295006641, issued on Jan 17, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lakeland, FL. The record was last updated on Jan 17, 2012.