OrganizationActive
Maryam Bangash DDS Holdings PLLC
NPI 1255707774 · General Practice Dentistry · Lake Wales, FL
Maryam Bangash DDS Holdings PLLC is a General Practice Dentistry organization in Lake Wales, FL (NPI 1255707774).
Provider details
- NPI number
- 1255707774
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kim Van Camp, Provider Relations Specialist(315) 454-6000
- License
- DN20272 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
24185 US Highway 27
Lake Wales, FL 33859-7819
Phone: (863) 676-6200
Fax: (863) 679-2561
Street-level locationGet directions
Mailing address
24185 US Highway 27
Lake Wales, FL 33859-7819
Other names (DBA / former)
- Doing business as
- Aspen Dental
Registry dates
- Enumerated
- 2015-08-19
- Last updated
- 2015-08-19
Frequently asked questions
- What is Maryam Bangash DDS Holdings PLLC's NPI number?
- Maryam Bangash DDS Holdings PLLC's National Provider Identifier (NPI) is 1255707774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maryam Bangash DDS Holdings PLLC?
- Maryam Bangash DDS Holdings PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Maryam Bangash DDS Holdings PLLC located?
- Maryam Bangash DDS Holdings PLLC's practice location on file with NPPES is 24185 US Highway 27, Lake Wales, FL 33859-7819.
- What is Maryam Bangash DDS Holdings PLLC's phone number?
- The practice phone number listed in the NPPES registry for Maryam Bangash DDS Holdings PLLC is (863) 676-6200.
- Who is the authorized official for Maryam Bangash DDS Holdings PLLC?
- The authorized official listed on Maryam Bangash DDS Holdings PLLC's NPPES record is Kim Van Camp, Provider Relations Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maryam Bangash DDS Holdings PLLC's NPI active?
- Yes — Maryam Bangash DDS Holdings PLLC's NPI (1255707774) is active in the NPPES registry as of the last update on 2015-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.