Laura Londono DMD PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

20878 Issued in FL

Legal business name

LAURA LONDONO DMD PA

Practice address

7800 N University Dr Ste 101
Tamarac, FL 33321-2113

Phone

(954) 670-1170

Fax

(786) 554-6309

NPI assigned

Aug 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Laura E Londono, DMD

Title

President

Phone

(786) 554-6309

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1003331034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 OPEN WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261154",
            "telephone_number": "786-554-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N UNIVERSITY DR STE 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212113",
            "telephone_number": "954-670-1170",
            "fax_number": "786-554-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA LONDONO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LONDONO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-554-6309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "20878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "661726",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.