Lagoon Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAGOON DENTAL PLLC

Doing business as

Lagoon Dental
Lagoon Dentistry

Practice address

1853 Knox McRae Dr
Titusville, FL 32780-5492

Phone

(321) 267-2934

NPI assigned

Mar 30, 2026

Last updated

Mar 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. Jesse R. Lebrecht, D.M.D.NPI 1093408312

Title

Owner

Phone

(407) 782-5439

Specialties & licenses 1

Addresses

Other names 2

• Lagoon Dental Doing business as
• Lagoon Dentistry Doing business as

Locations

Practitioners 2

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.

• Jesse Lebrecht, DMD

  • Dentist
  • Ocala, FL
  • NPI 1093408312
  NPD Authorized official
• Gregory Lee Gullikson, DMD

  • General Practice Dentistry
  • Titusville, FL
  • NPI 1851405732
  NPD (past)

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1942140264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 KNOX MCRAE DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805492",
            "telephone_number": "321-267-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 KNOX MCRAE DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805492",
            "telephone_number": "321-267-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGOON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-29",
        "status": "A",
        "authorized_official_last_name": "LEBRECHT",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-782-5439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lagoon Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lagoon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanielee Kriz, D.C.
• Richard Krubel, MD
• Michael Kutryb, M.D.
• Miranda Jade Lacey, RBT
• Stephen Jonas Lagergren, MD
• Michael Laguerre
• Paula Lakeman, D.C
• Christina Langille, ARNP-C
• Kayla Lanoue, APRN
• Latino Leadership, Inc.

• General Practice Dentistry in Titusville, FL
• Providers in Titusville, FL by specialty
• General Practice Dentistry in Florida

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