MIL-LAKE DENTAL – NPI #1346798063
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MIL-LAKE DENTAL is a provider located in LAKE WORTH, FL. NPPES has assigned the NPI number 1346798063 to MIL-LAKE DENTAL on September 12, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MIL-LAKE DENTAL is also known by the name MIL-LAKE DENTAL AND EYE CARE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 10 years ago on Oct 20, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIL-LAKE DENTAL below.

NPI Profile for
MIL-LAKE DENTAL

NPI Number
1346798063
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIL-LAKE DENTAL
Other Name: MIL-LAKE DENTAL AND EYE CARE
Primary location
7657 LAKE WORTH RD
LAKE WORTH, FL 33467-2534
Phone: (561) 357-1009 Fax: (561) 969-7624
Mailing address
6137 LAKE WORTH RD
GREENACRES, FL 33463-3074
Phone: (561) 357-1009 Fax: (561) 969-7624
Organization Subpart
No
Authorized Official
ROBERT VICTOME
OWNER
Phone: (561) 357-1009
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
207W00000X
- Ophthalmology
156FX1800X
- Technician/Technologist / Optician
FL
152W00000X
- Optometrist
122300000X
- Dentist
FL DN13708

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.