OrganizationActive
Ada34, PA
NPI 1043917610 · Dental Clinic/Center · Lake Placid, FL
Ada34, PA is a Dental Clinic/Center organization in Lake Placid, FL (NPI 1043917610).
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
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
408 W Interlake Blvd
Lake Placid, FL 33852-0700
Phone: (863) 465-2037
Street-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
Frequently asked questions
- What is Ada34, PA's NPI number?
- Ada34, PA's National Provider Identifier (NPI) is 1043917610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ada34, PA?
- Ada34, PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ada34, PA located?
- Ada34, PA's practice location on file with NPPES is 408 W Interlake Blvd, Lake Placid, FL 33852-0700.
- What is Ada34, PA's phone number?
- The practice phone number listed in the NPPES registry for Ada34, PA is (863) 465-2037.
- Who is the authorized official for Ada34, PA?
- The authorized official listed on Ada34, PA's NPPES record is Andrew Dormeshian, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ada34, PA's NPI active?
- Yes — Ada34, PA's NPI (1043917610) is active in the NPPES registry as of the last update on 2023-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.