MDD DENTAL INC NPI 1366085896

NPI Information

  • NPI: 1366085896
  • Provider Name: MDD DENTAL, INC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 3207 S FLORIDA AVE
    LAKELAND, FL
    ZIP 33803
  • Phone: (863) 606-6006

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NPI Details

MDD DENTAL, INC is a dental clinic center in Lakeland, FL. MDD DENTAL, INC NPI is 1366085896. The provider is registered as an organization entity type.

The provider's business location address is:

3207 S FLORIDA AVE
LAKELAND, FL
ZIP 33803-550
Phone: (863) 606-6006

The provider's authorized official is Sylvia J Miller .
The authorized official title is Insurance Coordinator and has the following contact phone number (321) 431-2208.

The enumeration date for this NPI number is 10/28/2019 and was last updated on 10/28/2019.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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