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

Lake Mary Dental PA

Organization General Practice Dentistry · NPI 1639297732

Lake Mary Dental PA provides General Practice Dentistry in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

114 Timberlachen Cir
Lake Mary, FL 32746-3395
Phone: (407) 330-3801
Fax: (407) 330-5739
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN6106 (FL)

Record details

NPI number1639297732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Pyle — Dental Director · (407) 330-3801
NPI enumeratedMarch 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address114 Timberlachen Cir, Lake Mary, FL 32746-3395

Other providers in Lake Mary