Organization Active NPI

Brilliant Smiles Lakeland PA

  • Prosthodontics
  • Lakeland, FL
National Provider Identifier
1891475596
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
BRILLIANT SMILES LAKELAND PA
Practice address
320 W Highland Dr
Lakeland, FL 33813-1543
Phone
(863) 644-2428
Fax
(863) 644-6235
NPI assigned
Jul 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Dr. Jesspreet Parmar, DMDNPI 1073099594
Title
President
Phone
(863) 644-2428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

320 W Highland Dr
Lakeland, FL 33813-1543

Mailing address

320 W Highland Dr
Lakeland, FL 33813-1543
Phone (863) 644-2428

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1891475596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W HIGHLAND DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131543",
            "telephone_number": "863-644-2428",
            "fax_number": "863-644-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W HIGHLAND DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131543",
            "telephone_number": "863-644-2428",
            "fax_number": "863-644-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT SMILES LAKELAND PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "PARMAR",
        "authorized_official_first_name": "JESSPREET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-644-2428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "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 Sep 3, 2025; 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.