352-Dentist, PA
Organization Active NPI Dental Clinic/Center · Lady Lake, FL
NPI 1487496337 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1487496337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- 352-DENTIST, PA
- Practice address
- 809 Highway 466 Ste C-102
Lady Lake, FL 32159-3909 - Phone
- (352) 336-8478
- NPI assigned
- Jun 11, 2024
- Organization subpart
- No
Authorized official
- Name
- Igor German, DMD
- Title
- Ceo
- Phone
- (352) 336-8478
Corporate family (same tax ID) 1
Practitioners 2
-
Igor German, D.M.D
National Provider Directory
- Tax ID family
- 352-Dentist PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
809 Highway 466 Ste C-102
Lady Lake, FL 32159-3909
Mailing address
13979 NW 30TH Ave
Gainesville, FL 32606-9311
Phone (352) 284-9045
Other names
- Dental Discovery, PA
Other providers in Lady Lake, FL
- 1 Home Care Services LLC
- 100 Physicians Medicine, LLC
- Aarp Physical Medicine and Rehab LLC
- Abbey Rehabilitation Specialists of Lake County Inc
- Clarissa Rose Abrantes
- Abu Azizullah MD PA
- Access Psych Care PLLC
All providers in Lady Lake, FL · Dental Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.