Madison Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MADISON DENTISTRY LLC

Practice address

1680 SW Newland Way Ste 100
Lake City, FL 32025-6917

Phone

(386) 752-1342

NPI assigned

Mar 27, 2026

Organization subpart

No

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

Authorized official

Name

Lizzett Mujica, DDSNPI 1396937918

Title

President

Phone

(305) 799-0654

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lizzett Mujica, DDS

  • Dentist
  • Tallahassee, FL
  • NPI 1396937918
  NPD Authorized official
• Reeve G Abraben, DMD

  • General Practice Dentistry
  • Lake City, FL
  • NPI 1497880611
  NPD (past)

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1396684031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SE HARDING ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323404832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SW NEWLAND WAY STE 100",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256917",
            "telephone_number": "386-752-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "MUJICA",
        "authorized_official_first_name": "LIZZETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-799-0654",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Fay Lyons, LCSW
• M & M Rehab Inc (Mid-Florida Prosthetics & Orthotics)
• M Patricia Bedoya MD
• Minnie Mack
• Jaquez Macon
• Dylan Madison, PHARM D
• Zara Elizabeth Magana
• Magnolia Adult
• Magnolia Adult
• Magnolia Family Care Corp (Urolife Wellness)

• Dentist in Lake City, FL
• Providers in Lake City, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.