MEDICARE: DR. LANCE JOSEPH DDS

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	122300000X	Dentist	DN30107	FL

General Provider Information

NPI Number	:	1518799931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANCE JOSEPH DDS

Provider Business Mailing Address
First Line	:	2308 DURANT RD
Second Line	:
City	:	VALRICO
State	:	FL
Zip	:	33596-4626
Country	:	US
Telephone Number	:	813-817-6354
Fax Number	:

Provider Business Practice Location Address
First Line	:	49545 US-27
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33897-9507
Country	:	US
Telephone Number	:	863-473-8786
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	04/22/2026

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Directions to “ DR. LANCE JOSEPH DDS” Practice Location

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