Lady Lake Smiles Dentistry, PA

Organization Active NPI General Practice Dentistry · Lady Lake, FL

NPI 1982052262 · NPPES record last updated May 27, 2016

Key facts

NPI
1982052262
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
LADY LAKE SMILES DENTISTRY, PA
Practice address
870 N US Highway 27
A
Lady Lake, FL 32159-3107
Phone
(352) 282-4785
Fax
(352) 432-0752
NPI assigned
May 27, 2016
Organization subpart
No

Authorized official

Name
Dr. Katie L McCann, DDS
Title
Owner Dentist
Phone
(352) 282-4785

Practitioners 7

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

National Provider Directory

Locations

870 N US Highway 27
Ste A
Lady Lake, FL 32159
Phone (352) 282-4785

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

870 N US Highway 27
A
Lady Lake, FL 32159-3107

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names

  • Lady Lake Smiles Dentistry Doing business as

Other providers in Lady Lake, FL

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

Sources for this page

Verify at the official NPI Registry.