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

Summit Park Dental, Inc

Organization Dentist · NPI 1053662395

Summit Park Dental, Inc is a Dentist in Lady Lake, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

723 Cr 466
Lady Lake, FL 32159
Phone: (352) 430-0543
Fax: (352) 430-0702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence ND14668 (FL)

Record details

NPI number1053662395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phuong Ta — President / Owner · (352) 255-5538
Other names Lake Quality Dental
NPI enumeratedSeptember 26, 2012
Last updated in NPPESSeptember 26, 2012
Mailing address440 Chinahill Ct, Apopka, FL 32712

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