American Pediatric Dental Lake Worth, Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

AMERICAN PEDIATRIC DENTAL LAKE WORTH, INC

Doing business as

American Pediatric Dental Group

Practice address

1708 N Federal Hwy
Lake Worth, FL 33460-6668

Phone

(954) 417-1337

Fax

(954) 998-4750

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Lourdes Kontos

Title

Insurance Director

Phone

(954) 417-1337

Specialties & licenses 1

Addresses

Other names 1

• American Pediatric Dental Group Doing business as

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1063018687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606668",
            "telephone_number": "954-417-1337",
            "fax_number": "954-998-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606668",
            "telephone_number": "954-417-1337",
            "fax_number": "954-998-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PEDIATRIC DENTAL LAKE WORTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "KONTOS",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "954-417-1337"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Pediatric Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.