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

Mdm of Lakeland PA

Organization General Practice Dentistry · NPI 1295006641

Mdm of Lakeland PA is a General Practice Dentistry in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
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

2153 E County Road 540A
Lakeland, FL 33813-3794
Phone: (863) 709-1903
Fax: (863) 709-8833
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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 DN18829 (FL)

Record details

NPI number1295006641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Martin — President · (863) 709-1903
Other names Highlands Dental
NPI enumeratedJanuary 17, 2012
Last updated in NPPESJanuary 17, 2012
Mailing address701 S Howard Ave Ste 106-386, Tampa, FL 33606-2473

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