Bangash Dentistry PLLC

Organization Active NPI General Practice Dentistry · Lake Wales, FL

NPI 1962051987 · NPPES record last updated Sep 11, 2019

Key facts

NPI
1962051987
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
BANGASH DENTISTRY PLLC
Practice address
24185 US Highway 27
Lake Wales, FL 33859-7819
Phone
(863) 676-6200
NPI assigned
Sep 11, 2019
Organization subpart
No

Authorized official

Name
Maryam Bangash
Title
Owner
Phone
(863) 676-6200

Practitioners 5

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

24185 US Highway 27
Lake Wales, FL 33859-7819

Mailing address

PO Box 3189
Syracuse, NY 13220-3189

Other providers in Lake Wales, FL

All providers in Lake Wales, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.