Precision Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15198 Issued in FL

Legal business name

PRECISION DENTAL PA

Practice address

114 Timberlachen Cir
Lake Mary, FL 32746-3395

Phone

(407) 330-3801

Fax

(407) 330-5739

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Deoraj R Lall, DDSNPI 1841330404

Title

Vice President

Phone

(407) 330-3801

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Deoraj Ravi Lall, D.D.S.

  • General Practice Dentistry
  • Lake Mary, FL
  • NPI 1841330404
  NPD (past) Authorized official
• Ellis Lamar Fuller, D.D.S

  • Dentist
  • Lake Mary, FL
  • NPI 1366466286
  NPD (past)
• Dean Allen Goodall, DDS

  • General Practice Dentistry
  • Lake Mary, FL
  • NPI 1154427292
  NPD (past)
• Kenneth E Pyle, D.D.S.

  • General Practice Dentistry
  • Lake Mary, FL
  • NPI 1871631846
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1124215892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TIMBERLACHEN CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463395",
            "telephone_number": "407-330-3801",
            "fax_number": "407-330-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 TIMBERLACHEN CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463395",
            "telephone_number": "407-330-3801",
            "fax_number": "407-330-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "LALL",
        "authorized_official_first_name": "DEORAJ",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-330-3801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pothen Koruth MD LLC
• Yiny Poveda, LCSW
• Amari Powell
• Pram/Lake Mary Te, LLC
• PRC Associates, LLC
• Premise Health of Florida Medical PA
• Premise Health of Florida Medical PA
• Joleeyah Edsari Prewitt
• Victor James Prezioso, RNC CD
• Jesseica Jenae Price, PMHNP

• General Practice Dentistry in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.