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LIFETIME DENTAL, INC
NPI 1497906705
Dentist - General Practice in Tavares, FL

Active since October 06, 2008
215 E BURLEIGH BLVD, TAVARES, FL 32778(352) 253-6400(352) 253-6401 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifetime Dental, Inc NPPES

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

LIFETIME DENTAL, INC (NPI 1497906705), doing business as Tavares Dental Excellence, Llc, is a healthcare organization registered as a general practice in Tavares, Florida and active in the NPI registry since October 2008. The organization lists Charles William Reinertsen, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1497906705
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL, INC
Location Address215 E BURLEIGH BLVDTavares, FL 32778-2403
Mailing Address215 E Burleigh BlvdTavares, FL 32778-2403 · (352) 253-6400 · Fax (352) 253-6401
Phone(352) 253-6400
Fax(352) 253-6401
Organization SubpartNo
Authorized OfficialCharles William ReinertsenOwner/dentist · (352) 253-6400
Enumeration DateOctober 6, 2008
Last NPPES UpdateFebruary 21, 2018
✔ NPI 1497906705 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 · DN8245
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.
215 E BURLEIGH BLVD, Tavares, FL 32778
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Other Names 1

Former Legal Business NameTavares Dental Excellence, Llc

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 3

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

DR. JUDY JOAN FORRESTER D.M.D.
Dentist
215 E BURLEIGH BLVD
TAVARES, FL 32778
Lake County (352) 253-6400
DR. MARIA TRINH LUONG D.M.D
Dentist (General Practice)
215 E BURLEIGH BLVD
TAVARES, FL 32778
Lake County (352) 253-6400
CHARLES WILLIAM REINERTSEN DMD
Dentist (General Practice)
215 E BURLEIGH BLVD
TAVARES, FL 32778
Lake County (352) 253-6400

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 Lifetime Dental, Inc's NPI number?

The NPI number for Lifetime Dental, Inc is 1497906705. It was assigned to this organization in the NPPES registry on October 6, 2008. The provider was formerly known as Tavares Dental Excellence, LLC.

Where is Lifetime Dental, Inc located?

Lifetime Dental, Inc is located at 215 E Burleigh Blvd, Tavares, FL 32778. The listed phone number is (352) 253-6400.

What is Lifetime Dental, Inc'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 Lifetime Dental, Inc was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.