OrganizationActive
Ideal Dental of Lake Nona PLLC
NPI 1821609454 · Dentist · Orlando, FL
Ideal Dental of Lake Nona PLLC is a Dentist organization in Orlando, FL (NPI 1821609454).
Provider details
- NPI number
- 1821609454
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Joshua Coussa, Owner(972) 331-8079
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
12851 Narcoossee Rd Ste 102
Orlando, FL 32832-7156
Phone: (407) 749-1560
Fax: (407) 550-6210
Street-level locationGet directions
Mailing address
Po Box 840925
Dallas, TX 75284-0925
Registry dates
- Enumerated
- 2020-08-17
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Frequently asked questions
- What is Ideal Dental of Lake Nona PLLC's NPI number?
- Ideal Dental of Lake Nona PLLC's National Provider Identifier (NPI) is 1821609454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ideal Dental of Lake Nona PLLC?
- Ideal Dental of Lake Nona PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Ideal Dental of Lake Nona PLLC located?
- Ideal Dental of Lake Nona PLLC's practice location on file with NPPES is 12851 Narcoossee Rd Ste 102, Orlando, FL 32832-7156.
- What is Ideal Dental of Lake Nona PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ideal Dental of Lake Nona PLLC is (407) 749-1560.
- Who is the authorized official for Ideal Dental of Lake Nona PLLC?
- The authorized official listed on Ideal Dental of Lake Nona PLLC's NPPES record is Joshua Coussa, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ideal Dental of Lake Nona PLLC's NPI active?
- Yes — Ideal Dental of Lake Nona PLLC's NPI (1821609454) is active in the NPPES registry as of the last update on 2023-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.