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

East Lake Dental PLLC

Organization General Practice Dentistry · NPI 1518421924

East Lake Dental PLLC provides General Practice Dentistry in St Cloud, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

903 N Narcoossee Rd
St Cloud, FL 34771
Phone: (321) 236-1393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1518421924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chachy Reema Philip — Owner · (407) 346-4873
Other names East Lake Family Dental
NPI enumeratedJanuary 30, 2019
Last updated in NPPESJanuary 30, 2019
Mailing address4352 Summer Breeze Way, Kissimmee, FL 34744-9603

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