OrganizationActive
Lakeland Modern Dentistry, PA
NPI 1235649518 · Dentist · Lakeland, FL
Lakeland Modern Dentistry, PA is a Dentist organization in Lakeland, FL (NPI 1235649518).
Provider details
- NPI number
- 1235649518
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mary Mabry, Owner Doctor(863) 216-5765
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
4620 S Florida Ave Ste 120
Lakeland, FL 33813-2166
Phone: (863) 216-5765
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Lakeland Modern Dentistry
Registry dates
- Enumerated
- 2017-10-02
- Last updated
- 2022-06-15
- Certified
- 2022-06-15
Frequently asked questions
- What is Lakeland Modern Dentistry, PA's NPI number?
- Lakeland Modern Dentistry, PA's National Provider Identifier (NPI) is 1235649518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeland Modern Dentistry, PA?
- Lakeland Modern Dentistry, PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lakeland Modern Dentistry, PA located?
- Lakeland Modern Dentistry, PA's practice location on file with NPPES is 4620 S Florida Ave Ste 120, Lakeland, FL 33813-2166.
- What is Lakeland Modern Dentistry, PA's phone number?
- The practice phone number listed in the NPPES registry for Lakeland Modern Dentistry, PA is (863) 216-5765.
- Who is the authorized official for Lakeland Modern Dentistry, PA?
- The authorized official listed on Lakeland Modern Dentistry, PA's NPPES record is Mary Mabry, Owner Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeland Modern Dentistry, PA's NPI active?
- Yes — Lakeland Modern Dentistry, PA's NPI (1235649518) is active in the NPPES registry as of the last update on 2022-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.