Lisbon Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1948 Issued in ND

Legal business name

LISBON DENTISTRY PC

Doing business as

Lisbon Smiles

Practice address

420 Main St
Lisbon, ND 58054-4142

Phone

(701) 683-7695

Fax

(701) 683-7698

NPI assigned

Aug 20, 2018

Last updated

Aug 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Marie Lourens

Title

Office Manager

Phone

(701) 683-7695

Specialties & licenses 1

Addresses

Other names 1

• LISBON SMILES Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan M Nelson, DDS

  • Dentist
  • Lisbon, ND
  • NPI 1992815294
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1154801090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580541078",
            "telephone_number": "701-683-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MAIN ST",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580544142",
            "telephone_number": "701-683-7695",
            "fax_number": "701-683-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISBON DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "LOURENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-683-7695"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LISBON SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisbon Area Health Services (CHI Lisbon Health)
• Lisbon Area Health Services (Lisbon Area Health Services Home Care)
• Lisbon Area Health Services (CHI Lisbon Health)
• Lisbon Area Health Services (CHI Lisbon Health)
• Lisbon Chiropractic Clinic PLLC
• Lisbon Pharmacy Inc (Lisbon Sheyenne Pharmacy)
• Lisbon Vision Center, P.C.
• Kristina M Long, LPC
• Susan Marie Long, PHARM.D.
• Rudolf Loperena, MD

• General Practice Dentistry in Lisbon, ND
• Providers in Lisbon, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.