LUMINA DENTAL OF LAKELAND,PA
NPI 1487292454
Clinic/Center - Dental in Lakeland, FL

Q: What is Lumina Dental Of Lakeland,pa's NPI number?

The NPI number for Lumina Dental Of Lakeland,pa is 1487292454. It was assigned to this organization in the NPPES registry on December 20, 2019. The provider is doing business as Lumina Dental Of Lakeland.

Q: What is Lumina Dental Of Lakeland,pa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since December 20, 2019

4912 SOUTHFORK DR, LAKELAND, FL 33813(863) 455-4348 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Lumina Dental Of Lakeland,pa NPPES

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

LUMINA DENTAL OF LAKELAND,PA (NPI 1487292454), doing business as Lumina Dental Of Lakeland, is a healthcare organization registered as a dental in Lakeland, Florida and active in the NPI registry since December 2019. The organization lists John Ivey, Owner, as its authorized official.

NPPES Registry Identity

NPI1487292454

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameLUMINA DENTAL OF LAKELAND,PA

Location Address4912 SOUTHFORK DRLakeland, FL 33813-2042

Mailing Address4912 Southfork DrLakeland, FL 33813-2042 · (863) 455-4348

Phone(863) 455-4348

Organization SubpartNo

Authorized OfficialJohn IveyOwner · (321) 431-2208

Enumeration DateDecember 20, 2019

✔ NPI 1487292454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

4912 SOUTHFORK DR, Lakeland, FL 33813

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Other Names 1

Doing Business AsLumina Dental Of Lakeland

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

ROBERT SUTTON DMD

Durable Medical Equipment & Medical Supplies (Customized Equipment)

4912 SOUTHFORK DR
LAKELAND, FL 33813

Polk County (863) 648-5353

ROBERT W. SUTTON, D.M.D.,P.A.

Durable Medical Equipment & Medical Supplies (Customized Equipment)

4912 SOUTHFORK DR
LAKELAND, FL 33813

Polk County (863) 648-5353

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 Lumina Dental Of Lakeland,pa's NPI number?

The NPI number for Lumina Dental Of Lakeland,pa is 1487292454. It was assigned to this organization in the NPPES registry on December 20, 2019. The provider is doing business as Lumina Dental Of Lakeland.

Where is Lumina Dental Of Lakeland,pa located?

Lumina Dental Of Lakeland,pa is located at 4912 Southfork Dr, Lakeland, FL 33813. The listed phone number is (863) 455-4348.

What is Lumina Dental Of Lakeland,pa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Lumina Dental Of Lakeland,pa accept?

Health plans from Ambetter Health, Ambetter of Alabama and UnitedHealthcare list Lumina Dental Of Lakeland,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 Lumina Dental Of Lakeland,pa was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.