LAKELAND MODERN DENTISTRY
NPI 1235649518
Dentist in Lakeland, FL

Active since October 02, 2017
4620 S FLORIDA AVE STE 120, LAKELAND, FL 33813(863) 216-5765 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeland Modern Dentistry NPPES

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

LAKELAND MODERN DENTISTRY (NPI 1235649518) is a healthcare organization registered as a dentist in Lakeland, Florida and active in the NPI registry since October 2017. The organization lists Mary Mabry, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1235649518
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLAKELAND MODERN DENTISTRY, PA
Location Address4620 S FLORIDA AVE STE 120Lakeland, FL 33813-2166
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Organization SubpartNo
Authorized OfficialMary MabryOwner Doctor · (863) 216-5765
Enumeration DateOctober 2, 2017
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
NPI 1235649518 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.

4620 S FLORIDA AVE STE 120, Lakeland, FL 33813

Other Names 1

Doing Business AsLakeland 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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4620 S FLORIDA AVE STE 120
LAKELAND, FL 33813
Dentist
4620 S FLORIDA AVE STE 120
LAKELAND, FL 33813
Dentist (General Practice)
4620 S FLORIDA AVE STE 120
LAKELAND, FL 33813
Dentist
4620 S FLORIDA AVE STE 120
LAKELAND, FL 33813
Dentist (General Practice)
4620 S FLORIDA AVE STE 120
LAKELAND, FL 33813

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 Lakeland Modern Dentistry, PA's NPI number?

The NPI number for Lakeland Modern Dentistry, PA is 1235649518. It was assigned to this organization in the NPPES registry on October 2, 2017. The provider is doing business as Lakeland Modern Dentistry.

Where is Lakeland Modern Dentistry, PA located?

Lakeland Modern Dentistry, PA is located at 4620 S Florida Ave Ste 120, Lakeland, FL 33813. The listed phone number is (863) 216-5765.

What is Lakeland Modern Dentistry, PA's specialty?

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

What insurance does Lakeland Modern Dentistry, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Lakeland 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 Lakeland Modern Dentistry, PA was last updated on June 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.