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

Ideal Dental of Lee Vista PLLC

Organization Dentist · NPI 1689285207

Ideal Dental of Lee Vista PLLC provides Dentist services in Orlando, Florida. Registered with an NPI since 2020.

In the registry since
2020
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

6784 Eagle Watch Dr Ste 550
Orlando, FL 32822-2355
Phone: (407) 982-7996
Fax: (407) 543-2516
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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 number1689285207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Doan — Owner · (972) 331-8079
NPI enumeratedAugust 17, 2020
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing addressPo Box 840925, Dallas, TX 75284-0925

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