Lakewood Dental Associates LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAKEWOOD DENTAL ASSOCIATES LLC

Practice address

15711 Madison Ave
Lakewood, OH 44107-5655

Phone

(216) 228-7950

NPI assigned

Aug 24, 2019

Organization subpart

No

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

Authorized official

Name

Charlyne Jungermann

Title

Practice Manager

Phone

(440) 899-7950

Specialties & licenses 1

Addresses

Other names 1

• Lakewood Dental Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566604800000",
    "number": "1053968917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15711 MADISON AVE STE 104",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075655",
            "telephone_number": "216-228-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15711 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075655",
            "telephone_number": "216-228-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A",
        "authorized_official_last_name": "JUNGERMANN",
        "authorized_official_first_name": "CHARLYNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "440-899-7950"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lakewood15711@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Files",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15711 Madison Ave",
            "city": "Lakewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441075655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lakewood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakewood City Center Dental LLC
• Lakewood City SD
• Lakewood Cleveland Clinic Hospital
• Lakewood Counseling, LLC
• Lakewood Dental Arts-Edward a Hadaway DDS& Denver D Jenkins Jr DDS LLC
• Lakewood Dental Group, Jeffrey S Rosenthal DDS Inc
• Lakewood Dental Partners, LLC
• Lakewood Dermatology
• Lakewood Foundation
• Lakewood Functional Rehab

• Dental Clinic/Center in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.