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

Dr. Kawveh Nofallah, DMD

Individual provider General Practice Dentistry · NPI 1417381518

Dr. Kawveh Nofallah, DMD is a General Practice Dentistry in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3624 Harden Blvd
Lakeland, FL 33803-5938
Phone: (863) 648-5338
Fax: (863) 648-5890
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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 17075 (FL)

Record details

NPI number1417381518
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 26, 2013
Last updated in NPPESAugust 26, 2013

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