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

Lake Mary Dental PA

Organization General Practice Dentistry · NPI 1639297732

Lake Mary Dental PA is a General Practice Dentistry in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

114 Timberlachen Cir
Lake Mary, FL 32746-3395
Phone: (407) 330-3801
Fax: (407) 330-5739
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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 · Licence DN6106 (FL)

Record details

NPI number1639297732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Pyle — Dental Director · (407) 330-3801
NPI enumeratedMarch 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address114 Timberlachen Cir, Lake Mary, FL 32746-3395

Other providers in Lake Mary