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

Dr. Samuel Thomas Pero IV, DMD

Individual provider Dentist · NPI 1255781209

Dr. Samuel Thomas Pero IV, DMD is a Dentist in Lake Wales, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
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

701 State Road 60 E
Lake Wales, FL 33853-4240
Phone: (863) 676-6021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 21864 (FL)

Record details

NPI number1255781209
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 20, 2016
Last updated in NPPESJune 20, 2016

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