Lakes Mall Dental Center , PA
NPI 1063757912 · General Practice Dentistry · Pembroke Pines, FL
Lakes Mall Dental Center , PA is a General Practice Dentistry organization in Pembroke Pines, FL (NPI 1063757912).
Provider details
- NPI number
- 1063757912
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Erik Calderon, President(305) 951-9988
- License
- 19377 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2012-12-04
- Last updated
- 2012-12-04
Frequently asked questions
- What is Lakes Mall Dental Center , PA's NPI number?
- Lakes Mall Dental Center , PA's National Provider Identifier (NPI) is 1063757912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakes Mall Dental Center , PA?
- Lakes Mall Dental Center , PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lakes Mall Dental Center , PA located?
- Lakes Mall Dental Center , PA's practice location on file with NPPES is 11401 Pines Blvd Ste 220, Pembroke Pines, FL 33026-4104.
- What is Lakes Mall Dental Center , PA's phone number?
- The practice phone number listed in the NPPES registry for Lakes Mall Dental Center , PA is (954) 432-5515.
- Who is the authorized official for Lakes Mall Dental Center , PA?
- The authorized official listed on Lakes Mall Dental Center , PA's NPPES record is Erik Calderon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakes Mall Dental Center , PA's NPI active?
- Yes — Lakes Mall Dental Center , PA's NPI (1063757912) is active in the NPPES registry as of the last update on 2012-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.