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

Dr. Serena Ghodasra, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457962235

Dr. Serena Ghodasra, DMD is a Student in an Organized Health Care Education/Training Program in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
2
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

5710 US Highway 98 N
Lakeland, FL 33809-3108
Phone: (863) 640-2150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN25391 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DRP2237 (FL)

Record details

NPI number1457962235
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 13, 2020
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

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