OrganizationActive
Adak Enterprises PLLC
NPI 1467194431 · Orthodontics and Dentofacial Orthopedics Dentistry · Lakeland, FL
Provider details
- NPI number
- 1467194431
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Heather Grigsby, Insurance Coordinator(863) 644-0430
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
330 E Highland Dr
Lakeland, FL 33813-1727
Phone: (863) 644-0430
Fax: (863) 646-5902
Street-level locationGet directions
Mailing address
330 E Highland Dr
Lakeland, FL 33813-1727
Other names (DBA / former)
- Doing business as
- Dietrich Kelso Orthodontics
Registry dates
- Enumerated
- 2022-04-11
- Last updated
- 2022-04-11
- Certified
- 2022-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.