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

Lake Erie College of Osteopathic Medicine

Organization General Practice Dentistry · NPI 1912258872

Lake Erie College of Osteopathic Medicine provides General Practice Dentistry in Bradenton, Florida. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

4800 Lakewood Ranch Blvd
Bradenton, FL 34211-4953
Phone: (941) 405-1507
Fax: (941) 405-1675
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1912258872
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Erie College of Osteopathic Medicine
Authorized official Steven Inman — Vp Fiscal Affairs/Cfo · (814) 868-8258
Other names Lecom School Of Dental Medicine; Lecom School Of Dental Medicine
NPI enumeratedOctober 1, 2012
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing address4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953

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