OrganizationActive
Lumina Dental of Lakeland,pa
NPI 1487292454 · Dental Clinic/Center · Lakeland, FL
Lumina Dental of Lakeland,pa is a Dental Clinic/Center organization in Lakeland, FL (NPI 1487292454).
Provider details
- NPI number
- 1487292454
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Ivey, Owner(321) 431-2208
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
4912 Southfork Dr
Lakeland, FL 33813-2042
Phone: (863) 455-4348
Street-level locationGet directions
Mailing address
4912 Southfork Dr
Lakeland, FL 33813-2042
Other names (DBA / former)
- Doing business as
- Lumina Dental of Lakeland
Registry dates
- Enumerated
- 2019-12-20
- Last updated
- 2019-12-20
- Certified
- 2019-12-20
Frequently asked questions
- What is Lumina Dental of Lakeland,pa's NPI number?
- Lumina Dental of Lakeland,pa's National Provider Identifier (NPI) is 1487292454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lumina Dental of Lakeland,pa?
- Lumina Dental of Lakeland,pa is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lumina Dental of Lakeland,pa located?
- Lumina Dental of Lakeland,pa's practice location on file with NPPES is 4912 Southfork Dr, Lakeland, FL 33813-2042.
- What is Lumina Dental of Lakeland,pa's phone number?
- The practice phone number listed in the NPPES registry for Lumina Dental of Lakeland,pa is (863) 455-4348.
- Who is the authorized official for Lumina Dental of Lakeland,pa?
- The authorized official listed on Lumina Dental of Lakeland,pa's NPPES record is John Ivey, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lumina Dental of Lakeland,pa's NPI active?
- Yes — Lumina Dental of Lakeland,pa's NPI (1487292454) is active in the NPPES registry as of the last update on 2019-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.