Organization Active NPI

Dr M. Farag, PA

Doing business as Lakeland Dental Center

  • General Practice Dentistry
  • Lakeland, FL
National Provider Identifier
1316372717
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR M. FARAG, PA
Doing business as
Lakeland Dental Center
Practice address
2945 Lakeland Hills Blvd
Lakeland, FL 33805-2223
Phone
(863) 688-4106
Fax
(863) 688-5818
NPI assigned
Sep 5, 2013
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dr. Maher N Farag, DMSNPI 1689763401
Title
President
Phone
(863) 688-4106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2945 Lakeland Hills Blvd
Lakeland, FL 33805-2223

Mailing address

2945 Lakeland Hills Blvd
Lakeland, FL 33805-2223
Phone (863) 688-4106

Other names 1

  • LAKELAND DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

2945 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-4106

Practitioners & affiliated clinicians

Practitioners 2

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": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1316372717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052223",
            "telephone_number": "863-688-4106",
            "fax_number": "863-688-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052223",
            "telephone_number": "863-688-4106",
            "fax_number": "863-688-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR M. FARAG, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "FARAG",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-688-4106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKELAND DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 5, 2013; 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.