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

Lumina Dental of Lakeland, PA

Organization Dental Clinic/Center · NPI 1487292454

Lumina Dental of Lakeland, PA is a Dental Clinic/Center in Lakeland, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

4912 Southfork Dr
Lakeland, FL 33813-2042
Phone: (863) 455-4348
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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 number1487292454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ivey — Owner · (321) 431-2208
Other names Lumina Dental Of Lakeland
NPI enumeratedDecember 20, 2019
Last updated in NPPESDecember 20, 2019
Certification dateDecember 20, 2019
Mailing address4912 Southfork Dr, Lakeland, FL 33813-2042

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