MEDICARE: DR. DAVID LACH D.D.S,M.S.,P.A.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	5820	NC
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN12168	FL

General Provider Information

NPI Number	:	1881759470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID LACH D.D.S,M.S.,P.A.

Provider Business Mailing Address
First Line	:	4250 ALAFAYA TRAIL
Second Line	:	SUITE 180
City	:	OVEIDO
State	:	FL
Zip	:	32765
Country	:	US
Telephone Number	:	407-359-1960
Fax Number	:	407-359-2958

Provider Business Practice Location Address
First Line	:	4250 ALAFAYA TRL
Second Line	:	SUITE 180
City	:	OVIEDO
State	:	FL
Zip	:	32765-9412
Country	:	US
Telephone Number	:	407-359-1960
Fax Number	:	407-359-2958

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	03/14/2024

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Directions to “ DR. DAVID LACH D.D.S,M.S.,P.A.” Practice Location

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