Dentist at the Villages
Dentist at the Villages is an Exclusive Provider Organization in Lady Lake, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
Practice location Address checks out
307 Lagrande BlvdLady Lake, FL 32159-2388
Phone: (352) 753-5789
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence DN 15845 (FL) |
|---|
Record details
| NPI number | 1760938005 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carlos Medina — Ownwe/Dentist · (352) 753-5789 |
| NPI enumerated | August 28, 2016 |
| Last updated in NPPES | August 28, 2016 |
| Mailing address | 307 Lagrande Blvd, Lady Lake, FL 32159-2388 |