LUMINA DENTAL OF LAKELAND,PA


Address: 4912 Southfork Dr, Lakeland, FL 33813-2042
Phone: 8634554348

LUMINA DENTAL OF LAKELAND,PA (NPI# 1487292454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487292454
Entity Type Organization
Organization Name LUMINA DENTAL OF LAKELAND,PA
Practice Address 4912 Southfork Dr
Lakeland
FL 33813-2042
Practice Telephone 8634554348
Mailing Telephone 8634554348
Enumeration Date 2019-12-20
Last Update Date 2019-12-20
Authorized Official Name JOHN IVEY (OWNER)
Authorized Official Telephone 3214312208
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
LUMINA DENTAL OF LAKELAND Doing Business As Name - Organization

Office Location

Street Address 4912 SOUTHFORK DR
City LAKELAND
State FL
Zip Code 33813-2042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295859957 Robert Sutton Dentist 4912 Southfork Dr, Lakeland, FL 33813-2042 2007-03-19
1487084224 Robert W. Sutton, D.m.d.,p.a. Durable Medical Equipment & Medical Supplies 4912 Southfork Dr, Lakeland, FL 33813-2042 2013-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427600030 Genesis Vieyra Lopez Nurse Practitioner 631 Mid Florida Drive, Lakeland, FL 33813 2019-07-13
1306323340 Sandrene Smart Clinic/Center 625 Commerce Dr. (suite 103), Lakeland, FL 33813 2018-07-23
1033560586 Charles D. Llano, D.d.s. Dentist 320 West Highland Drive, Lakeland, FL 33813 2016-06-27
1417317389 Eye Specialists of Mid-florida, Pa Ophthalmology 2004 Cr 540 A, Lakeland, FL 33813 2016-03-04
1609234905 Care and Life LLC In Home Supportive Care 6526 Fox Tree Lane, Lakeland, FL 33813 2016-02-02
1558731158 Lori Ann Smith Nurse Practitioner 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 2015-09-25
1891182143 Advanced Integrated Care Organization, LLC Health Maintenance Organization 5423 S. Florida Ave, Lakeland, FL 33813 2015-04-23
1902292352 Central Health Associates Internal Medicine 4925 Old Rd 37, Lakeland, FL 33813 2015-04-13
1134542848 Gledia Lovering Dietitian, Registered 6420 Highlands In The Woods St, Lakeland, FL 33813 2014-01-31
1134556368 Billy Rogers Nurse Anesthetist, Certified Registered 4513 Orangewood Loop W., Lakeland, FL 33813 2013-10-02
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053961227 Memphis Dentures and Implants Pllc Clinic/Center 8950 Us-64, Suite 108, Lakeland, TN 38002-4566 2019-09-18
1366085896 Mdd Dental, Inc Clinic/Center 3207 S Florida Ave, Lakeland, FL 33803-4550 2019-10-28
1881064343 Highland Park Dental Clinic/Center 4326 Highland Park Blvd, Lakeland, FL 33813-1647 2015-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699376525 Hoffmann Holdings Inc Clinic/Center 515 Semoran Blvd Ste 1000, Casselberry, FL 32707-5341 2020-11-06
1811598238 Dental Plus Management, LLC Clinic/Center 16 Ne 2nd Ave, Deerfield Beach, FL 33441-3504 2020-11-03
1750981452 Smillie Dental Pllc Clinic/Center 5537 S Williamson Blvd Ste 675, Port Orange, FL 32128-8314 2020-10-30
1609476027 R & R Dentistry Pa Clinic/Center 6290 Linton Blvd Unit 202, Delray Beach, FL 33484-6409 2020-10-26
1295334126 Friedman Dental Group Miami, Pllc Clinic/Center 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 2020-10-21
1376142547 Trm Global Enterprise,llc. Clinic/Center 145 Crawl Key Ct, Deland, FL 32720-3951 2020-10-20
1568060762 Bawany LLC Clinic/Center 15130 Springview St, Tampa, FL 33624-2332 2020-10-12
1992312730 Rocent Dental Care, Inc. Clinic/Center 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 2020-09-25
1730795857 Kind Smiles Dental Health Clinic/Center 11155 State Road 70 E, Lakewood Ranch, FL 34202 2020-09-23
1952916306 Simmons Services LLC Clinic/Center 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 2020-09-12
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Competitor

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City LAKELAND
Zip Code 33813

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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