PEDIATRIC DENTISTRY OF LAKELAND, PLLC (NPI# 1174887095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174887095 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY OF LAKELAND, PLLC |
| Practice Address |
5710 Us Highway 98 N Lakeland FL 33809-3108 |
| Practice Telephone | 8636402150 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Authorized Official Name | DR. ERIN SMITH BERLING (OWNER) |
| Authorized Official Telephone | 8636402150 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN19011 | FL | Dental Providers |
| Street Address |
5710 US HIGHWAY 98 N |
| City | LAKELAND |
| State | FL |
| Zip Code | 33809-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972732675 | Roshni M Patel | Dentist | 5710 Us Highway 98 N, Lakeland, FL 33809-3108 | 2009-07-02 |
| 1235622051 | Kristen Elizabeth Dreyer | Dentist | 5710 Us Highway 98 N, Lakeland, FL 33809-3108 | 2018-06-07 |
| 1912219759 | Erin Smith Berling | Dentist | 5710 Us Highway 98 N, Lakeland, FL 33809-3108 | 2010-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018178 | John C Gallik | Military Health Care Provider | 3176 Corporal Johnson Road, Jbsa Fort Sam Houston, TX 33809 | 2020-06-23 |
| 1376189209 | Julie Independence Tomchak | Nurse's Aide | 7805 Us Highway Lot 29 # 98 N, Lakeland, FL 33809 | 2019-11-26 |
| 1912465923 | Lakeland Oaks Nh LLC | Skilled Nursing Facility | 855 Carpenters Way, Lakeland, FL 33809 | 2019-03-08 |
| 1235528753 | Christia Mccann | Physician Assistant | 4120 Us Hwy. 98 N., One Lakeland Square, Lakeland, FL 33809 | 2015-01-21 |
| 1548679616 | Ashley Frances Hamarowicz | Physical Therapist | 771 Carpenters Way, Lakeland, FL 33809 | 2014-08-04 |
| 1750700860 | Grace Manor Suites | Assisted Living Facility | 4620 N Socrum Loop Road, Lakeland, FL 33809 | 2014-04-16 |
| 1164769980 | Christopher Fisher | Hearing Instrument Specialist | 3800 North Rd 98, Ste 500, Lakeland, FL 33809 | 2013-01-14 |
| 1023374063 | Eagle Lake Pharmacy Inc | Pharmacy | 5245 A U S Hwy 98 N, Suite A, Lakeland, FL 33809 | 2012-04-04 |
| 1851669675 | Reginald Keith Jenkins | Pharmacist | 1043 Walt Williams Road, Lakeland, FL 33809 | 2011-12-07 |
| 1578859633 | Jill Margaret Waldrop | Pharmacist | 6600 N. Socrum Loop, Lakeland, FL 33809 | 2011-06-27 |
| Find all providers in zip 33809 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972732675 | Roshni M Patel | Dentist | 5710 Us Highway 98 N, Lakeland, FL 33809-3108 | 2009-07-02 |
| 1821200585 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4238 U.S. Highway 98 North, Lakeland, FL 33809 | 2007-05-04 |
| 1538200282 | Nancy Montgomery | Dentist | 225 Imperial Blvd, Lakeland, FL 33803-4612 | 2007-02-08 |
| 1821006800 | Shirin Yasrebi | Dentist | 2015 E Edgewood Dr, Lakeland, FL 33803 | 2006-08-04 |
| 1093750630 | Edward Jordan Tarver Iv | Dentist | 1111 Parkway Frontage Rd N, Lakeland, FL 33803 | 2006-06-18 |
| 1679551154 | Jennifer Depew | Dentist | 1111 N Parkway Frontage Rd, Lakeland, FL 33803 | 2006-01-05 |
| 1235622051 | Kristen Elizabeth Dreyer | Dentist | 5710 Us Highway 98 N, Lakeland, FL 33809-3108 | 2018-06-07 |
| 1023318052 | Bopp and Tarver Pllc | Dentist | 1111 N Parkway Frontage Rd, Lakeland, FL 33803-0400 | 2010-10-25 |
| 1427219773 | Shirin Yasrebi, Dds | Dentist | 2015 E Edgewood Dr, Lakeland, FL 33803-3601 | 2008-06-19 |
| 1780605956 | Harry Edward Bopp | Dentist | 1111 N Parkway Frontage Rd, Lakeland, FL 33803-0400 | 2006-07-22 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.