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

Vidales Dental Corp

Organization Dentist · NPI 1780466011

Vidales Dental Corp is a Dentist in Lakeland, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6958 Shimmering Dr
Lakeland, FL 33813-3331
Phone: (813) 818-8056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1780466011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mateo Vidales — Owner · (863) 225-5600
Other names Shimmering Dental
NPI enumeratedOctober 20, 2023
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing address6958 Shimmering Dr, Lakeland, FL 33813-3331

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