Provider Demographics
NPI:1881759470
Name:LACH, DAVID (DDS,MS,PA)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:LACH
Suffix:
Gender:M
Credentials:DDS,MS,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 ALAFAYA TRAIL
Mailing Address - Street 2:SUITE 180
Mailing Address - City:OVEIDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765
Mailing Address - Country:US
Mailing Address - Phone:407-359-1960
Mailing Address - Fax:407-359-2958
Practice Address - Street 1:4250 ALAFAYA TRL
Practice Address - Street 2:SUITE 180
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9412
Practice Address - Country:US
Practice Address - Phone:407-359-1960
Practice Address - Fax:407-359-2958
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC58201223X0400X
FLDN121681223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics