Lakeland Modern Dentistry

LBN: Lakeland Modern Dentistry, Pa
Lakeland Modern Dentistry is an health care organization with primary practice located at 4620 S Florida Ave Ste 120 , Lakeland FL 33813-2166. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lakeland Modern Dentistry, Pa can be contacted via phone (863) 216-5765, or through Mabry, Mary via phone (863) 216-5765.

Contact Information

Primary practice address
4620 S Florida Ave Ste 120 Lakeland FL 33813-2166
Phone: (863) 216-5765
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mabry, Mary Doctor of Dental Surgery (DDS)
Phone: (863) 216-5765

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1235649518
LBN Legal business name Lakeland Modern Dentistry, Pa
DBA Doing business as Lakeland Modern Dentistry
Authorized official Mabry, Mary Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2017
Last updated Jun 15th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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