Lady Lake Smiles Dentistry, PA

NPI #1982052262 in Lady Lake, Florida

Provider Information

NPI Number: 1982052262
Entity Type: Organization
Organization Name: Lady Lake Smiles Dentistry, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: May 27, 2016
Last Updated: May 27, 2016

Practice Location

Address: 870 N US HIGHWAY 27
Address 2: A
City: Lady Lake
State: Florida
ZIP Code: 32159-3107
Phone: (352) 282-4785

Authorized Official

Name: DR. KATIE L MCCANN, DDS
Title: OWNER DENTIST
Phone: (352) 282-4785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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