Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dentist of Lake Mary LLC

Organization Dentist · NPI 1124622659

Dentist of Lake Mary LLC is a Dentist in Lake Mary, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

229 Wheelhouse Ln Ste 1241
Lake Mary, FL 32746-3665
Phone: (407) 284-1645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1124622659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dharam Tayal — Member · (716) 239-5889
NPI enumeratedNovember 25, 2020
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address12250 Strategy Blvd Ste 437, Orlando, FL 32817-2108

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