Mount Dora Modern Dentistry, PA
Mount Dora Modern Dentistry, PA is a healthcare organization registered as General Practice Dentistry in Eustis, FL, holding Type 2 (organization) NPI 1659815306 since 2016. The authorized official on file is Thien Le, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659815306 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mount Dora Modern Dentistry, PA |
| Other name | <Unavail> |
| Practice address | 17365 US HWY 441, Eustis, FL, 32757 |
| Phone | 3522703015 |
| Enumeration date | 2016-12-15 |
| Last updated in NPPES | 2022-02-10 |
Authorized official
| Name | Thien Le |
|---|---|
| Title | Owner |
| Phone | 3522703015 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Mount Dora Modern Dentistry, PA NPI: 1659815306 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 17365 US HWY 441, Eustis, FL, 32757
Verify this record
Cross-check NPI 1659815306 against the authoritative CMS record: view Mount Dora Modern Dentistry, PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Mount Dora Modern Dentistry, PA?
Who is the authorized official for Mount Dora Modern Dentistry, PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-02-10.