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LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY
NPI 1477895464
Dentist - General Practice in Auburndale, FL

Active since March 18, 2013
2016 US HIGHWAY 92 W, AUBURNDALE, FL 33823(863) 662-9973(863) 875-5736 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Myrtle Center For Advanced Dentistry NPPES

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

LAKE MYRTLE CENTER FOR ADVANCED DENTISTRY (NPI 1477895464) is a healthcare organization registered as a general practice in Auburndale, Florida and active in the NPI registry since March 2013. The organization lists Henry Acosta, Dentist, as its authorized official.

NPPES Registry Identity

NPI1477895464
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE MYRTLE CENTER FOR ADVANCED DENTISTRY
Location Address2016 US HIGHWAY 92 WAuburndale, FL 33823-3921
Mailing Address2016 Us Highway 92 WAuburndale, FL 33823-3921 · (863) 662-9973 · Fax (863) 875-5736
Phone(863) 662-9973
Fax(863) 875-5736
Organization SubpartNo
Authorized OfficialHenry AcostaDentist · (863) 662-9973
Enumeration DateMarch 18, 2013
✔ NPI 1477895464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN16643
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2016 US HIGHWAY 92 W, Auburndale, FL 33823
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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

Other Providers at the Same Location NPPES

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

HAFSA TAI DDS
Dentist (General Practice)
2016 US HIGHWAY 92 W
AUBURNDALE, FL 33823
Polk County (863) 662-9973

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 Myrtle Center For Advanced Dentistry's NPI number?

The NPI number for Lake Myrtle Center For Advanced Dentistry is 1477895464. It was assigned to this organization in the NPPES registry on March 18, 2013.

Where is Lake Myrtle Center For Advanced Dentistry located?

Lake Myrtle Center For Advanced Dentistry is located at 2016 Us Highway 92 W, Auburndale, FL 33823. The listed phone number is (863) 662-9973.

What is Lake Myrtle Center For Advanced Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lake Myrtle Center For Advanced Dentistry was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.