is a Dental Clinic in Lakeland, Florida. This organization is also known as sub part of Children And Teen Dental Group Of Florida. It is located at 2015 E Edgewood Dr, Lakeland, FL and its contact number is 863-667-6900. The authorized person for is Nicole Caride
who is Credentialing of the clinic and their contact number is 727-784-2721. Other organizations associated with this clinic are Children And Teen Dental Group Of Florida, Shirin Yasrebi, Dds, Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Dentistry
Clinic Address:
2015 E Edgewood Dr, Lakeland, Florida, 33803-3601
Phone:
863-667-6900
Fax:
866-963-6483
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Nicole Caride
Position:
Credentialing
Contact Number:
727-784-2721
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1396310454
Parent Organization:
Children And Teen Dental Group Of Florida
NPI Enumeration Date:
21 May, 2021
NPI Last Update On:
21 Jan, 2025
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Children And Teen Dental Group Of Florida
Dentistry
1396310454
Shirin Yasrebi, Dds
Pediatric Dentistry
1427219773
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
Primary
Dentist
Secondary
General Practice
Secondary
Oral and Maxillofacial Surgery
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2300 Lakeview Pkwy Ste 250, Alpharetta, Georgia
Zip:
30009-3954
Phone Number:
770-744-4522
Fax Number:
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Patients can reach at 2015 E Edgewood Dr, Lakeland, Florida or can call to book an appointment on 863-667-6900. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.