# BRILLIANT SMILES LAKELAND PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891475596
- **Authorized official:** DR. JESSPREET PARMAR DMD (PRESIDENT)
- **Authorized official phone:** (863) 644-2428

## Contact information

- **Practice address:** 320 W HIGHLAND DR, LAKELAND, FL 33813-1543
- **Practice address phone:** (863) 644-2428
- **Practice address fax:** (863) 644-6235
- **Mailing address:** 320 W HIGHLAND DR, LAKELAND, FL 33813-1543
- **Mailing address phone:** (863) 644-2428
- **Mailing address fax:** (863) 644-6235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 09/03/2025