Organization Active NPI

Affordable Dentures & Implants - Lakeland, P.a.

  • General Practice Dentistry
  • Lakeland, FL
National Provider Identifier
1073320487
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - LAKELAND, P.A.
Practice address
3615 S Florida Ave Ste 1230
Lakeland, FL 33803-4808
Phone
(863) 701-7404
NPI assigned
Dec 18, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frederick Klepes, DDS
Title
Owner
Phone
(863) 701-7404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3615 S Florida Ave Ste 1230
Lakeland, FL 33803-4808

Mailing address

3615 S Florida Ave Ste 1230
Lakeland, FL 33803-4808
Phone (863) 701-7404

National Provider Directory

National Provider Directory

Locations

3615 S Florida Ave
Ste 1230
Lakeland, FL 33803
Phone (863) 701-7404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1073320487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE STE 1230",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034808",
            "telephone_number": "863-701-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE STE 1230",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034808",
            "telephone_number": "863-701-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - LAKELAND, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "KLEPES",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-701-7404",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.