Kenneth L. Mundy D.D.S., P.A. in Lakeland - Dentist
Kenneth L. Mundy D.D.S., P.A. - NPI 1124281977
Kenneth L. Mundy D.D.S., P.A. is a Dentist in Lakeland, Florida. Kenneth L. Mundy D.D.S., P.A. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth L. Mundy D.D.S., P.A. is 1124281977. The last update date is 2008-07-02.
Kenneth L. Mundy D.D.S., P.A.'s current location address is 4326 Highland Park Blvd, Lakeland, Florida. You can contact this provider via phone number 8636446418 and fax number 8636446419. The mailing address for Kenneth L. Mundy D.D.S., P.A. is 4326 Highland Park Blvd, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth L. Mundy D.D.S., P.A. |
|---|---|
| Address | 4326 Highland Park Blvd, Lakeland, Florida |
| Phone Number | 8636446418 |
| Fax Number | 8636446419 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Mundy K Judy |
| Telephone Number | 8636446418 |
NPI Number Detail
| NPI Number | 1124281977 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 4326 Highland Park Blvd |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338131647 |
| Phone Number | 8636446418 |
| Fax Number | 8636446419 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN6080 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Kenneth L. Mundy D.D.S., P.A. by the Centers for Medicare & Medicaid Services?
The Kenneth L. Mundy D.D.S., P.A. has been assigned the NPI (National Provider Identifier) 1124281977 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kenneth L. Mundy D.D.S., P.A. located?
The Kenneth L. Mundy D.D.S., P.A. is located at 4326 Highland Park Blvd, Lakeland, FL 338131647.
What is Kenneth L. Mundy D.D.S., P.A.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth L. Mundy D.D.S., P.A.'s specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124281977 to Kenneth L. Mundy D.D.S., P.A.?
The Centers for Medicare & Medicaid Services assigned the 1124281977 to Kenneth L. Mundy D.D.S., P.A. on 2008-07-02.
As of what date were the Kenneth L. Mundy D.D.S., P.A.'s details last updated?
The information pertaining to the Kenneth L. Mundy D.D.S., P.A., including its address, specialty, and other details, was most recently updated on 2008-07-02.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY