Heritage Dental of Lake County Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HERITAGE DENTAL OF LAKE COUNTY INC

Practice address

422 Teague TRL
Lady Lake, FL 32159-3769

Phone

(352) 750-4111

NPI assigned

Oct 30, 2026

Last updated

Oct 30, 2026By 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

Dr. Duy NguyenNPI 1386133452

Title

Practice Owner

Phone

(352) 750-4111

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Duy Nguyen

  • Dentist
  • Lady Lake, FL
  • NPI 1386133452
  NPD (past) Authorized official
• Kenneth Cohrn, DDS

  • General Practice Dentistry
  • Lady Lake, FL
  • NPI 1417003401
  NPD (past)
• Linda Annette Pellosie, DMD

  • General Practice Dentistry
  • The Villages, FL
  • NPI 1740616143
  NPD (past)

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1801794631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 TEAGUE TRL",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 TEAGUE TRL",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593769",
            "telephone_number": "352-750-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL OF LAKE COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUY",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "352-750-4111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Hands Help All, LLC
• Health First Internal Medicine Associates, LLC
• Hear Rite
• Hearrite, Inc
• Heidis Haven LLC (Heidis Haven - Lady Lake)
• Marcia A Herrin, RPH
• Antonette B Hicks, P.T.
• Barbra Higel, LMT
• Shelbie Hileman, ARNP
• Hillcrest Dermatology and Plastic Surgery P.a.

• Dental Clinic/Center in Lady Lake, FL
• Providers in Lady Lake, 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 Oct 30, 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.