Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MARION DENTAL GROUP
NPI 1063330553
Dentist - Endodontics in Lady Lake, FL

Active since July 09, 2026
13690 N US HIGHWAY 441 STE 100, LADY LAKE, FL 32159(352) 259-0822 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marion Dental Group NPPES

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

MARION DENTAL GROUP (NPI 1063330553), doing business as Lady Lake Endodontics, is a healthcare organization registered as an endodontics in Lady Lake, Florida and active in the NPI registry since July 2026. The organization lists Pete Bilan, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063330553
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameMARION DENTAL GROUP
Location Address13690 N US HIGHWAY 441 STE 100Lady Lake, FL 32159-6809
Mailing Address13690 N Us Highway 441 Ste 100Lady Lake, FL 32159-6809
Organization SubpartNo
Authorized OfficialPete BilanCfo · (941) 232-8433
Enumeration DateJuly 9, 2026
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1063330553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
13690 N US HIGHWAY 441 STE 100, Lady Lake, FL 32159

Other Names 1

Doing Business AsLady Lake Endodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Marion Dental Group's NPI number?

The NPI number for Marion Dental Group is 1063330553. It was assigned to this organization in the NPPES registry on July 9, 2026. The provider is doing business as Lady Lake Endodontics.

Where is Marion Dental Group located?

Marion Dental Group is located at 13690 N Us Highway 441 Ste 100, Lady Lake, FL 32159. The listed phone number is (352) 259-0822.

What is Marion Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Marion Dental Group was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.