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

Ideal Dental of Lee Vista

Organization Dentist · NPI 1083203632

Ideal Dental of Lee Vista provides Dentist services in Orlando, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

6784 Eagle Watch Dr Ste 550
Orlando, FL 32822-2355
Phone: (407) 982-7996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1083203632
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Coussa — Owner · (407) 982-7996
NPI enumeratedJanuary 18, 2021
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing addressPo Box 840925, Dallas, TX 75284-0925

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