OrganizationActive
Lake Mary Modern Dentistry, PA
NPI 1053849646 · Dentist · Lake Mary, FL
Lake Mary Modern Dentistry, PA is a Dentist organization in Lake Mary, FL (NPI 1053849646).
Provider details
- NPI number
- 1053849646
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Imran Hameedi, Dds/Owner(407) 547-1359
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3779 Lake Emma Road
Lake Mary, FL 32746
Phone: (407) 547-1359
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Lake Mary Modern Dentistry
Registry dates
- Enumerated
- 2017-05-26
- Last updated
- 2022-04-13
- Certified
- 2022-04-13
Frequently asked questions
- What is Lake Mary Modern Dentistry, PA's NPI number?
- Lake Mary Modern Dentistry, PA's National Provider Identifier (NPI) is 1053849646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Mary Modern Dentistry, PA?
- Lake Mary Modern Dentistry, PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lake Mary Modern Dentistry, PA located?
- Lake Mary Modern Dentistry, PA's practice location on file with NPPES is 3779 Lake Emma Road, Lake Mary, FL 32746.
- What is Lake Mary Modern Dentistry, PA's phone number?
- The practice phone number listed in the NPPES registry for Lake Mary Modern Dentistry, PA is (407) 547-1359.
- Who is the authorized official for Lake Mary Modern Dentistry, PA?
- The authorized official listed on Lake Mary Modern Dentistry, PA's NPPES record is Imran Hameedi, Dds/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Mary Modern Dentistry, PA's NPI active?
- Yes — Lake Mary Modern Dentistry, PA's NPI (1053849646) is active in the NPPES registry as of the last update on 2022-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.