OrganizationActive
Dentist of Lake Mary LLC
NPI 1124622659 · Dentist · Lake Mary, FL
Dentist of Lake Mary LLC is a Dentist organization in Lake Mary, FL (NPI 1124622659).
Provider details
- NPI number
- 1124622659
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Dharam Tayal, Member(716) 239-5889
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
229 Wheelhouse Ln Ste 1241
Lake Mary, FL 32746-3665
Phone: (407) 284-1645
Approximate (ZIP-level) locationGet directions
Mailing address
12250 Strategy Blvd Ste 437
Orlando, FL 32817-2108
Registry dates
- Enumerated
- 2020-11-25
- Last updated
- 2020-11-25
- Certified
- 2020-11-25
Frequently asked questions
- What is Dentist of Lake Mary LLC's NPI number?
- Dentist of Lake Mary LLC's National Provider Identifier (NPI) is 1124622659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dentist of Lake Mary LLC?
- Dentist of Lake Mary LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Dentist of Lake Mary LLC located?
- Dentist of Lake Mary LLC's practice location on file with NPPES is 229 Wheelhouse Ln Ste 1241, Lake Mary, FL 32746-3665.
- What is Dentist of Lake Mary LLC's phone number?
- The practice phone number listed in the NPPES registry for Dentist of Lake Mary LLC is (407) 284-1645.
- Who is the authorized official for Dentist of Lake Mary LLC?
- The authorized official listed on Dentist of Lake Mary LLC's NPPES record is Dharam Tayal, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dentist of Lake Mary LLC's NPI active?
- Yes — Dentist of Lake Mary LLC's NPI (1124622659) is active in the NPPES registry as of the last update on 2020-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.