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

Lakeland Oral Surgery and Specialty Center PLLC

Organization Dentist · NPI 1538895495

Lakeland Oral Surgery and Specialty Center PLLC is a Dentist in Lakeland, Florida. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
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

3845 S Florida Ave
Lakeland, FL 33813-1122
Phone: (863) 226-4486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 Forest Lake Dr Unit 107, Davenport, FL 33837-8940 — (863) 226-4486

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1538895495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Johnson — Cro · (941) 444-0558
NPI enumeratedJuly 25, 2022
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address3845 S Florida Ave, Lakeland, FL 33813-1122

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