Organization
LAKELAND ORAL SURGERY AND SPECIALTY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
3845 S FLORIDA AVE, LAKELAND, FL 33813-1122
(863) 226-4486
Mailing address
3845 S FLORIDA AVE, LAKELAND, FL 33813-1122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
01/22/2026
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