OrganizationActive
Summit Park Dental, Inc
NPI 1053662395 · Dentist · Lady Lake, FL
Provider details
- NPI number
- 1053662395
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Phuong Ta, President / Owner(352) 255-5538
- License
- ND14668 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
723 Cr 466
Lady Lake, FL 32159
Phone: (352) 430-0543
Fax: (352) 430-0702
Street-level locationGet directions
Mailing address
440 Chinahill Ct
Apopka, FL 32712
Other names (DBA / former)
- Doing business as
- Lake Quality Dental
Registry dates
- Enumerated
- 2012-09-26
- Last updated
- 2012-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.