Lakeville Orthodontic Associates LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D12240 Issued in MN

Legal business name

LAKEVILLE ORTHODONTIC ASSOCIATES LLC

Practice address

10440 185TH St W
Suite 300
Lakeville, MN 55044-6678

Phone

(952) 435-4000

Fax

(952) 435-8001

NPI assigned

Jan 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott R Bowlby, D.D.S.

Title

Doctor

Phone

(952) 435-4000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1003093485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 185TH ST W",
            "address_2": "SUITE 300",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446678",
            "telephone_number": "952-435-4000",
            "fax_number": "952-435-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 185TH ST W",
            "address_2": "SUITE 300",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446678",
            "telephone_number": "952-435-4000",
            "fax_number": "952-435-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVILLE ORTHODONTIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "BOWLBY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "952-435-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D12240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeville Family Therapy
• Lakeville Foot and Ankle Practice PLLC
• Lakeville Integrated Health Clinic Inc.
• Lakeville Integrative Medicine Clinic
• Lakeville Modern Dentistry, PLLC
• Lakeville Relief Care
• Lakeville Snyder Drug
• Debra J Lakin, RPH
• Laura Jane Lambert, MA, LPCC
• Carolyn June Laney, L.AC.

• Orthodontics and Dentofacial Orthopedics Dentistry in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.