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MIL-LAKE DENTAL NPI 1346798063


NPI Information

NPI: 1346798063
Provider Name: MIL-LAKE DENTAL

Other Name: MIL-LAKE DENTAL AND EYE CARE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
7657 LAKE WORTH RD
LAKE WORTH, FL
ZIP 33467
Phone: (561) 357-1009
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MIL-LAKE DENTAL is a general practice in Lake Worth, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MIL-LAKE DENTAL NPI is 1346798063. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mil-lake Dental And Eye Care.

The provider's business location address is:

7657 LAKE WORTH RD
LAKE WORTH, FL
ZIP 33467-534
Phone: (561) 357-1009
Fax: (561) 969-7624

The provider's authorized official is Robert G. Victome .
The authorized official title is Owner and has the following contact phone number (561) 357-1009.

The enumeration date for this NPI number is 9/12/2016 and was last updated on 10/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistDN13708FLORIDANo
2152W00000XOptometristNo
3156FX1800XTechnician/TechnologistOpticianFLORIDANo
4207W00000XOphthalmologyNo
5208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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