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

Lan Melanie La, DMD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1316490246

Lan Melanie La, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in St Petersburg, Florida. Licensed in Florida, Illinois and Missouri. Registered with an NPI since 2016.

Licensed in
FL, IL, MO
In the registry since
2016
Specialties on file
5
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

400 Carillon Pkwy Ste 120
St Petersburg, FL 33716-1290
Phone: (727) 299-0728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DN21957 (FL)
Dentist Taxonomy 122300000X · Licence 2019016473 (MO)
Dentist Taxonomy 122300000X · Licence DN21957 (FL)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 021002977 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 2019016473 (MO)

Record details

NPI number1316490246
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 27, 2016
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address4080 40th St N, St Petersburg, FL 33714-4419

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