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

Lake Butler Dental Group PA

Organization Dental Clinic/Center · NPI 1124732698

Lake Butler Dental Group PA is a Dental Clinic/Center in Winter Garden, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4014 Winter Garden Vineland Rd Ste B
Winter Garden, FL 34787
Phone: (321) 248-2923
Fax: (321) 418-8920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1124732698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Minh Pham — Owner · (321) 248-2923
Other names Lake Butler Dental Group
NPI enumeratedJanuary 10, 2023
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 6, 2023
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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