Comfortable Care Denta Health Professionals, PA

Organization Active NPI General Practice Dentistry · Lakeland, FL

NPI 1144547597 · NPPES record last updated Apr 26, 2010

Key facts

NPI
1144547597
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Practice address
1375 Town Center Dr
Lakeland, FL 33803-7964
Phone
(863) 686-2162
Fax
(863) 686-2615
NPI assigned
Apr 26, 2010
Organization subpart
Yes
Parent organization (as reported)
COMFORTABLECARE DETAL HEALTH PROFESSIONALS, PA

Authorized official

Name
Pam Hardiek
Title
Insurance/Credentialing
Phone
(217) 540-5100

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Comfortable Care Denta Health Professionals PA (455 organizations share this tax ID)
Part of
Comfortable Care Denta Health Professionals PA

Locations

1375 Town Center Dr
Lakeland, FL 33803
Phone (210) 725-3055

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

1375 Town Center Dr
Lakeland, FL 33803-7964

Mailing address

1375 Town Center Dr
Lakeland, FL 33803-7964
Phone (863) 686-2162

Other names

  • Family Dental at Lakeside Village Doing business as

Other providers in Lakeland, FL

All providers in Lakeland, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.