LAKE MARY MODERN DENTISTRY
NPI 1053849646
Dentist in Lake Mary, FL

Q: What is Lake Mary Modern Dentistry, PA's NPI number?

The NPI number for Lake Mary Modern Dentistry, PA is 1053849646. It was assigned to this organization in the NPPES registry on May 26, 2017. The provider is doing business as Lake Mary Modern Dentistry.

Q: What is Lake Mary Modern Dentistry, PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 26, 2017

3779 LAKE EMMA ROAD, LAKE MARY, FL 32746(407) 547-1359 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2022, May 26, 2017 (2 updates tracked since 2017).

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About Lake Mary Modern Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE MARY MODERN DENTISTRY (NPI 1053849646) is a healthcare organization registered as a dentist in Lake Mary, Florida and active in the NPI registry since May 2017. The organization lists Imran A. Hameedi, Dds/owner, as its authorized official.

NPPES Registry Identity

NPI1053849646

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLAKE MARY MODERN DENTISTRY, PA

Location Address3779 LAKE EMMA ROADLake Mary, FL 32746

Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (949) 474-1495

Phone(407) 547-1359

Organization SubpartNo

Authorized OfficialImran A. HameediDds/owner · (407) 547-1359

Enumeration DateMay 26, 2017

Last NPPES UpdateApril 13, 20222 updates tracked since enumeration

NPPES CertifiedApril 13, 2022

✔ NPI 1053849646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3779 LAKE EMMA ROAD, Lake Mary, FL 32746

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Other Names 1

Doing Business AsLake Mary Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Mary Modern Dentistry, PA's NPI number?

The NPI number for Lake Mary Modern Dentistry, PA is 1053849646. It was assigned to this organization in the NPPES registry on May 26, 2017. The provider is doing business as Lake Mary Modern Dentistry.

Where is Lake Mary Modern Dentistry, PA located?

Lake Mary Modern Dentistry, PA is located at 3779 Lake Emma Road, Lake Mary, FL 32746. The listed phone number is (407) 547-1359.

What is Lake Mary Modern Dentistry, PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Lake Mary Modern Dentistry, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Lake Mary Modern Dentistry, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Mary Modern Dentistry, PA was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.