Serenity Dentistry Spa, LLC
Dentist, General Practice in Lady Lake, FL. Organization (NPI-2).
NPI number1295053809
StatusActive
Last updated in NPPESMay 6, 2010
Details
- NPI
- 1295053809
- Entity type
- Organization (NPI-2)
- Legal business name
- Serenity Dentistry Spa, LLC
- Organization subpart
- No
- Enumeration date
- May 6, 2010
- Last updated
- May 6, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN15788 | FL | Yes |
Practice location
972 Del Mar DrLady Lake, FL 32159-7705
Phone 352-350-1933
Mailing address
972 Del Mar DrLady Lake, FL 32159-7705
Phone 352-350-1933
Authorized official
Maria T Luong
Dentist
3523501933
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