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

Mdm of Lakeland PA

Organization General Practice Dentistry · NPI 1295006641

Mdm of Lakeland PA provides General Practice Dentistry in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2153 E County Road 540A
Lakeland, FL 33813-3794 Not confirmed with CMS for 14 years — call before visiting
Phone: (863) 709-1903
Fax: (863) 709-8833
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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 · Licence DN18829 (FL)

Record details

NPI number1295006641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Martin — President · (863) 709-1903
Other names Highlands Dental
NPI enumeratedJanuary 17, 2012
Last updated in NPPESJanuary 17, 2012
Mailing address701 S Howard Ave Ste 106-386, Tampa, FL 33606-2473

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