OrganizationActive
East Lake Dental PLLC
NPI 1518421924 · General Practice Dentistry · St. Cloud, FL
East Lake Dental PLLC is a General Practice Dentistry organization in St. Cloud, FL (NPI 1518421924).
Provider details
- NPI number
- 1518421924
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Chachy Reema Philip, Owner(407) 346-4873
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
903 N. Narcoossee Rd
St. Cloud, FL 34771
Phone: (321) 236-1393
Street-level locationGet directions
Mailing address
4352 Summer Breeze Way
Kissimmee, FL 34744-9603
Other names (DBA / former)
- Doing business as
- East Lake Family Dental
Registry dates
- Enumerated
- 2019-01-30
- Last updated
- 2019-01-30
Frequently asked questions
- What is East Lake Dental PLLC's NPI number?
- East Lake Dental PLLC's National Provider Identifier (NPI) is 1518421924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Lake Dental PLLC?
- East Lake Dental PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is East Lake Dental PLLC located?
- East Lake Dental PLLC's practice location on file with NPPES is 903 N. Narcoossee Rd, St. Cloud, FL 34771.
- What is East Lake Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for East Lake Dental PLLC is (321) 236-1393.
- Who is the authorized official for East Lake Dental PLLC?
- The authorized official listed on East Lake Dental PLLC's NPPES record is Chachy Reema Philip, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Lake Dental PLLC's NPI active?
- Yes — East Lake Dental PLLC's NPI (1518421924) is active in the NPPES registry as of the last update on 2019-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.