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Ada34, PA — NPI 1043917610, Lake Placid, FL | NPI Central

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NPI 1043917610

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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

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

408 W Interlake Blvd

Lake Placid, FL 33852-0700

Phone: (863) 465-2037

Approximate (ZIP-level) locationGet directions

More FL providers

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.