OrganizationActive
Ada34, PA
NPI 1043917610 · Dental Clinic/Center · Lake Placid, FL
Provider details
- NPI number
- 1043917610
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Dormeshian, Owner(917) 847-6976
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
408 W Interlake Blvd
Lake Placid, FL 33852-0700
Phone: (863) 465-2037
Approximate (ZIP-level) locationGet directions
Mailing address
408 W Interlake Blvd
Lake Placid, FL 33852-0700
Other names (DBA / former)
- Doing business as
- Sunshine Family Dentistry
Registry dates
- Enumerated
- 2023-02-14
- Last updated
- 2023-02-14
- Certified
- 2023-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.