Lakeview Dentistry P.C., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAKEVIEW DENTISTRY P.C., INC.

Practice address

10750 W. McDowell Road, BLDG. D410
Avondale, AZ 85392

Phone

(623) 474-2869

Fax

(623) 474-2908

NPI assigned

Jan 23, 2019

Organization subpart

No

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

Authorized official

Name

Jehyun Ryu, D.D.S.NPI 1215086400

Title

Dentist/Owner

Phone

(623) 474-2869

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jehyun Anthony Ryu, D.D.S.

  • General Practice Dentistry
  • Avondale, AZ
  • NPI 1215086400
  NPD (past) Authorized official
• John J. Kim, D.D.S.

  • General Practice Dentistry
  • Avondale, AZ
  • NPI 1285783118
  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1073077145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 W. MCDOWELL ROAD, BLDG. D410",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85392",
            "telephone_number": "623-474-2869",
            "fax_number": "623-474-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 W. MCDOWELL ROAD, BLDG. D410",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85392",
            "telephone_number": "623-474-2869",
            "fax_number": "623-474-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW DENTISTRY P.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "JEHYUN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "623-474-2869",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Lacey, RD
• Laura Marie Lacombe
• Lacuna Autism Services LLC
• Cynthia Laguna
• Diana Laguna
• Key T Lam
• Jay Lambert, LCSW
• Kia Lambeth
• James Lee Lamunyon, P.A.-C
• Dejanique Land

• General Practice Dentistry in Avondale, AZ
• Providers in Avondale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.