1. Home
  2. Directory
  3. Florida
  4. Eustis
  5. Dentist
  6. NPI Profile

MOUNT DORA MODERN DENTISTRY
NPI 1659815306
Dentist - General Practice in Eustis, FL

Active since December 15, 2016
17365 US HWY 441, EUSTIS, FL 32757(352) 270-3015 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2022, Jan 5, 2017, Dec 28, 2016 and 1 more (4 updates tracked since 2016).

About Mount Dora Modern Dentistry NPPES

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

MOUNT DORA MODERN DENTISTRY (NPI 1659815306) is a healthcare organization registered as a general practice in Eustis, Florida and active in the NPI registry since December 2016. The organization lists Thien Le, Owner, as its authorized official.

NPPES Registry Identity

NPI1659815306
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOUNT DORA MODERN DENTISTRY, PA
Location Address17365 US HWY 441Eustis, FL 32757
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8500
Phone(352) 270-3015
Organization SubpartNo
Authorized OfficialThien LeOwner · (352) 270-3015
Enumeration DateDecember 15, 2016
Last NPPES UpdateFebruary 10, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1659815306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
17365 US HWY 441, Eustis, FL 32757
Open in Google Maps ↗

Other Names 1

Doing Business AsMount Dora 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

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

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 Mount Dora Modern Dentistry, PA's NPI number?

The NPI number for Mount Dora Modern Dentistry, PA is 1659815306. It was assigned to this organization in the NPPES registry on December 15, 2016. The provider is doing business as Mount Dora Modern Dentistry.

Where is Mount Dora Modern Dentistry, PA located?

Mount Dora Modern Dentistry, PA is located at 17365 Us Hwy 441, Eustis, FL 32757. The listed phone number is (352) 270-3015.

What is Mount Dora Modern Dentistry, PA's specialty?

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

What insurance does Mount Dora Modern Dentistry, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Mount Dora 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 Mount Dora Modern Dentistry, PA was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.