MEDICARE: GENTLE CARE DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1437084555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE CARE DENTAL PLLC

Provider Business Mailing Address
First Line	:	570 RINEHART RD FL 32746
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-4801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	570 RINEHART RD
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-4801
Country	:	US
Telephone Number	:	407-878-3888
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MONICA POLAKHARE
Credential	:	DDS
Telephone Number	:	202-304-9610

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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