Organization Active NPI

Advanced Dental Arts of Lakeland PLLC

  • General Practice Dentistry
  • Lakeland, FL
National Provider Identifier
1497600209
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADVANCED DENTAL ARTS OF LAKELAND PLLC
Practice address
1218 W Daughtery Rd
Lakeland, FL 33810-3293
Phone
(863) 815-9099
Fax
(863) 274-3355
NPI assigned
Feb 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Marnie Sanz
Title
Credentialing Specialist Lead
Phone
(615) 206-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1218 W Daughtery Rd
Lakeland, FL 33810-3293

Mailing address

1218 W Daughtery Rd
Lakeland, FL 33810-3293
Phone (863) 815-9099

National Provider Directory

National Provider Directory

Locations

1218 W Daughtery Rd
Lakeland, FL 33810
Phone (863) 815-9099

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1497600209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 W DAUGHTERY RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338103293",
            "telephone_number": "863-815-9099",
            "fax_number": "863-274-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W DAUGHTERY RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338103293",
            "telephone_number": "863-815-9099",
            "fax_number": "863-274-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL ARTS OF LAKELAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "SANZ",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST LEAD",
        "authorized_official_telephone_number": "615-206-2173"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 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.