Summit Park Dental, Inc is a Dental Clinic in Lady Lake, Florida. It is located at 723 Cr 466, Lady Lake, FL and its contact number is 352-430-0543. The authorized person for Summit Park Dental, Inc is Phuong Ta
who is President / Owner of the clinic and their contact number is 352-255-5538. The primary license number for Summit Park Dental, Inc is ND14668 (Dentist) in Florida.
Summit Park Dental, Inc 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:
Summit Park Dental, Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Summit Park Dental, Inc |
| Specialization: | Dentistry |
| Clinic Address: | 723 Cr 466, Lady Lake,
Florida, 32159 |
| Phone: | 352-430-0543 |
| Fax: | 352-430-0702 |
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: | Phuong Ta |
| Position: | President / Owner |
| Contact Number: | 352-255-5538 |
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 Summit Park Dental, Inc clinic are as mentioned below.
| NPI Number: | 1053662395 |
| NPI Enumeration Date: | 26 Sep, 2012 |
| NPI Last Update On: | 26 Sep, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Summit Park Dental, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | ND14668 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Summit Park Dental, Inc
440 Chinahill Ct,
Apopka, Florida |
| Zip: | 32712 |
| Phone Number: | 352-430-0543 |
| Fax Number: | 352-430-0702 |
Patients can reach Summit Park Dental, Inc at
723 Cr 466, Lady Lake, Florida or can
call to book an appointment on 352-430-0543.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.