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

Mount Dora Modern Dentistry, PA

Organization General Practice Dentistry · NPI 1659815306

Mount Dora Modern Dentistry, PA is a General Practice Dentistry in Eustis, Florida. Registered with an NPI since 2016.

In the registry since
2016
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

17365 US Hwy 441
Eustis, FL 32757
Phone: (352) 270-3015
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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

Record details

NPI number1659815306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thien Le — Owner · (352) 270-3015
Other names Mount Dora Modern Dentistry; Mount Dora Modern Dentistry
NPI enumeratedDecember 15, 2016
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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