Lakeland Modern Dentistry, PA
NPI 1235649518ActiveOrganization· Dentist· Lakeland, FL
Dentist in Lakeland, Florida, registered in NPPES in October 2017. The authorized official on file is Mary Mabry, DDS, Owner Doctor.
Overview
| NPI | 1235649518 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 2, 2017 |
| Last updated in NPPES | Jun 15, 2022 |
| Certified by provider | Jun 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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