OrganizationActive
352-Dentist, PA
NPI 1487496337 · Dental Clinic/Center · Lady Lake, FL
352-Dentist, PA is a Dental Clinic/Center organization in Lady Lake, FL (NPI 1487496337).
Provider details
- NPI number
- 1487496337
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Igor German, Ceo(352) 336-8478
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
809 Highway 466 Ste C-102
Lady Lake, FL 32159-3909
Phone: (352) 336-8478
Street-level locationGet directions
Mailing address
13979 Nw 30th Ave
Gainesville, FL 32606-9311
Other names (DBA / former)
- Former legal business name
- Dental Discovery, PA
Registry dates
- Enumerated
- 2024-06-11
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Frequently asked questions
- What is 352-Dentist, PA's NPI number?
- 352-Dentist, PA's National Provider Identifier (NPI) is 1487496337, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 352-Dentist, PA?
- 352-Dentist, PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is 352-Dentist, PA located?
- 352-Dentist, PA's practice location on file with NPPES is 809 Highway 466 Ste C-102, Lady Lake, FL 32159-3909.
- What is 352-Dentist, PA's phone number?
- The practice phone number listed in the NPPES registry for 352-Dentist, PA is (352) 336-8478.
- Who is the authorized official for 352-Dentist, PA?
- The authorized official listed on 352-Dentist, PA's NPPES record is Igor German, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 352-Dentist, PA's NPI active?
- Yes — 352-Dentist, PA's NPI (1487496337) is active in the NPPES registry as of the last update on 2024-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.