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

East Lake Dental PLLC

Organization General Practice Dentistry · NPI 1518421924

East Lake Dental PLLC is a General Practice Dentistry in St Cloud, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

903 N Narcoossee Rd
St Cloud, FL 34771
Phone: (321) 236-1393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1518421924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chachy Reema Philip — Owner · (407) 346-4873
Other names East Lake Family Dental
NPI enumeratedJanuary 30, 2019
Last updated in NPPESJanuary 30, 2019
Mailing address4352 Summer Breeze Way, Kissimmee, FL 34744-9603

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