Lake Mary Modern Dentistry

LBN: Lake Mary Modern Dentistry, Pa
Lake Mary Modern Dentistry is an health care organization with primary practice located at 3779 Lake Emma Road , Lake Mary FL 32746. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lake Mary Modern Dentistry, Pa can be contacted via phone (407) 547-1359, or through Hameedi, Imran A. via phone (407) 547-1359.

Contact Information

Primary practice address
3779 Lake Emma Road Lake Mary FL 32746
Phone: (407) 547-1359
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hameedi, Imran A. Doctor of Dental Medicine (DMD)
Phone: (407) 547-1359

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1053849646
LBN Legal business name Lake Mary Modern Dentistry, Pa
DBA Doing business as Lake Mary Modern Dentistry
Authorized official Hameedi, Imran A. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2017
Last updated Apr 13th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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