The Smile Mission Lakeland PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE SMILE MISSION LAKELAND PLLC

Practice address

3615 S Florida Ave Ste 7
Lakeland, FL 33803-4876

Phone

(786) 701-8246

NPI assigned

Dec 15, 2023

Last updated

Dec 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dustin Pfundheller, DMDNPI 1538673207

Title

Manager

Phone

(786) 701-8246

Specialties & licenses 1

Addresses

Other names 1

• The Smile Mission PLLC Former legal business name

Locations

Practitioners 1

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.

• Dustin Mark Pfundheller, DMD

  • Dentist
  • Miami, FL
  • NPI 1538673207
  Authorized official Same address or phone

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1740058072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SW 168TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574378",
            "telephone_number": "786-701-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE STE 7",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034876",
            "telephone_number": "786-701-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE MISSION LAKELAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "PFUNDHELLER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-701-8246",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Mission PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dental Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.