OrganizationActive
Mdm of Lakeland PA
NPI 1295006641 · General Practice Dentistry · Lakeland, FL
Mdm of Lakeland PA is a General Practice Dentistry organization in Lakeland, FL (NPI 1295006641).
Provider details
- NPI number
- 1295006641
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Martin, President(863) 709-1903
- License
- DN18829 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2153 E County Road 540a
Lakeland, FL 33813-3794
Phone: (863) 709-1903
Fax: (863) 709-8833
Street-level locationGet directions
Mailing address
701 S Howard Ave Ste 106-386
Tampa, FL 33606-2473
Other names (DBA / former)
- Doing business as
- Highlands Dental
Registry dates
- Enumerated
- 2012-01-17
- Last updated
- 2012-01-17
Frequently asked questions
- What is Mdm of Lakeland PA's NPI number?
- Mdm of Lakeland PA's National Provider Identifier (NPI) is 1295006641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mdm of Lakeland PA?
- Mdm of Lakeland PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mdm of Lakeland PA located?
- Mdm of Lakeland PA's practice location on file with NPPES is 2153 E County Road 540a, Lakeland, FL 33813-3794.
- What is Mdm of Lakeland PA's phone number?
- The practice phone number listed in the NPPES registry for Mdm of Lakeland PA is (863) 709-1903.
- Who is the authorized official for Mdm of Lakeland PA?
- The authorized official listed on Mdm of Lakeland PA's NPPES record is Jeffrey Martin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mdm of Lakeland PA's NPI active?
- Yes — Mdm of Lakeland PA's NPI (1295006641) is active in the NPPES registry as of the last update on 2012-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.