LAKELAND PERIODONTICS INC NPI 1508892225

NPI Information

LAKELAND PERIODONTICS, INC is a periodontics dentist in Lakeland, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. LAKELAND PERIODONTICS, INC NPI is 1508892225. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3003 S FLORIDA AVE
SUITE 201
LAKELAND, FL
ZIP 33803-050
Phone: (863) 687-9227
Fax: (863) 687-2813

The provider's authorized official is Donna L Todd .
The authorized official title is Insurance Coordinator and has the following contact phone number (863) 687-9227.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 8/22/2020.

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:

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