Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dentist of Lake Mary LLC

Organization Dentist · NPI 1124622659

Dentist of Lake Mary LLC provides Dentist services in Lake Mary, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

229 Wheelhouse Ln Ste 1241
Lake Mary, FL 32746-3665
Phone: (407) 284-1645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1124622659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dharam Tayal — Member · (716) 239-5889
NPI enumeratedNovember 25, 2020
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address12250 Strategy Blvd Ste 437, Orlando, FL 32817-2108

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