Active NPI
Ollie Dental, PLLC
Doing business as Lifelong Dental
- General Practice Dentistry
- Winter Garden, FL
National Provider Identifier
1407764624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- OLLIE DENTAL, PLLC
- Doing business as
- Lifelong Dental
- Practice address
- 3700 Winter Garden Vineland Rd
Winter Garden, FL 34787-5483 - Phone
- (407) 654-1296
- NPI assigned
- Aug 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stefhany G Duque Rosas, DMD
- Title
- Owner
- Phone
- (239) 738-9019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3700 Winter Garden Vineland Rd
Winter Garden, FL 34787-5483
Mailing address
4961 S Orange Ave
Orlando, FL 32806-6957
Other names 1
- Lifelong Dental
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1407764624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4961 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 WINTER GARDEN VINELAND RD",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347875483",
"telephone_number": "407-654-1296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLLIE DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-29",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "DUQUE ROSAS",
"authorized_official_first_name": "STEFHANY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-738-9019",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifelong Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.