Highland Park Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN18120 Issued in FL

Legal business name

HIGHLAND PARK DENTAL

Practice address

4326 Highland Park Blvd
Lakeland, FL 33813-1647

Phone

(863) 644-6418

Fax

(863) 644-6419

NPI assigned

Sep 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mical Slater, DMD

Title

Preident

Phone

(863) 644-6418

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Lawrence Mundy, DDS

  • General Practice Dentistry
  • Lakeland, FL
  • NPI 1407879687
  NPD (past)

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1881064343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 HIGHLAND PARK BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131647",
            "telephone_number": "863-644-6418",
            "fax_number": "863-644-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 HIGHLAND PARK BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131647",
            "telephone_number": "863-644-6418",
            "fax_number": "863-644-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "MICAL",
        "authorized_official_title_or_position": "PREIDENT",
        "authorized_official_telephone_number": "863-644-6418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Vanessa Hickey, APRN
• Dontae Hicks, LCSW
• Isabel Victoria Hidalgo Acosta I, M.D
• Amanda Lynn Hidalgo, AU.D.
• Highland Center for Orthopedics & Upper Extremity Surgery P a (Highland Center for Orthopaedics)
• Highlands Lake Center, LLC (Highlands Lake Center)
• Highlands Occupational Therapy, Inc (The Hand Rehabilitation Center of Florida)
• Highlands Occupational Therapy, Inc (The Hand Rehabilitation Center of Florida)
• Highpoint Homehealth Services
• Monique Harrigan Hikel

• 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 Sep 28, 2015; 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.