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Contact Information

SUMMIT PARK DENTAL, INC
723 CR 466
LADY LAKE, FL32159
 Phone: 352-430-0543
 Fax: 352-430-0702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for SUMMIT PARK DENTAL INC · (Female)

NPI Number 1053662395
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2012
Last updated 09/26/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ND14668
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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