Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LAKELAND ORAL SURGERY AND SPECIALTY CENTER PLLC
NPI 1538895495
Dentist in Lakeland, FL

Active since July 25, 2022
3845 S FLORIDA AVE, LAKELAND, FL 33813(863) 226-4486 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, Jan 22, 2026, Jul 25, 2022 (3 updates tracked since 2022).

About Lakeland Oral Surgery And Specialty Center Pllc NPPES

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

LAKELAND ORAL SURGERY AND SPECIALTY CENTER PLLC (NPI 1538895495) is a healthcare organization registered as a dentist in Lakeland, Florida and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Davenport and lists Victoria Johnson, Cro, as its authorized official.

NPPES Registry Identity

NPI1538895495
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLAKELAND ORAL SURGERY AND SPECIALTY CENTER PLLC
Location Address3845 S FLORIDA AVELakeland, FL 33813-1122
Mailing Address3845 S Florida AveLakeland, FL 33813-1122
Organization SubpartNo
Authorized OfficialVictoria JohnsonCro · (941) 444-0558
Enumeration DateJuly 25, 2022
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1538895495 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.
3845 S FLORIDA AVE, Lakeland, FL 33813

Secondary Practice Location 1

Location 12300 Forest Lake Dr Unit 107Davenport, FL 33837-8940 · Phone (863) 226-4486

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 3

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

Dentist (General Practice)
3845 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (Oral and Maxillofacial Surgery)
3845 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
3845 S FLORIDA AVE
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 Oral Surgery And Specialty Center PLLC's NPI number?

The NPI number for Lakeland Oral Surgery And Specialty Center PLLC is 1538895495. It was assigned to this organization in the NPPES registry on July 25, 2022.

Where is Lakeland Oral Surgery And Specialty Center PLLC located?

Lakeland Oral Surgery And Specialty Center PLLC is located at 3845 S Florida Ave, Lakeland, FL 33813. The listed phone number is (863) 226-4486.

What is Lakeland Oral Surgery And Specialty Center PLLC's specialty?

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

What insurance does Lakeland Oral Surgery And Specialty Center PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Solstice Benefits and UnitedHealthcare list Lakeland Oral Surgery And Specialty Center PLLC 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 Oral Surgery And Specialty Center PLLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.