Affordable Dentures - Lakeland, P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AFFORDABLE DENTURES - LAKELAND, P.A.

Practice address

3615 S Florida Ave Ste 1230
Lakeland, FL 33803-4808

Phone

(863) 701-7404

Fax

(863) 701-7580

NPI assigned

Jan 9, 2011

Last updated

Jan 9, 2011By 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

Thach V Pham, DMDNPI 1407816903

Title

Owner

Phone

(863) 701-7404

Specialties & licenses 1

Addresses

Locations

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.

• Thach Pham, D.M.D

  • Dentist
  • Lakeland, FL
  • NPI 1407816903
  NPD (past) Authorized official

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

{
    "created_epoch": "1294531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294531200000",
    "number": "1174827901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE STE 1230",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034808",
            "telephone_number": "863-701-7404",
            "fax_number": "863-701-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE STE 1230",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034808",
            "telephone_number": "863-701-7404",
            "fax_number": "863-701-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - LAKELAND, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-09",
        "last_updated": "2011-01-09",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THACH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-701-7404",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Private Home Health Services, Inc.
• Advent Home Care Alliance, Inc
• Adventist Health System /Sunbelt, Inc. (AdventHealth Centra Care - Lakeland)
• Adventist Health System/Sunbelt Inc. (AdventHealth Centra Care S. Lakeland)
• Adventist Health System/Sunbelt, Inc. (AdventHealth Primary Care Plus S. Lakeland)
• Affordable Dentures & Implants - Lakeland, P.a.
• Affordable Transport Inc.
• Kelly Affron, SLP
• Agape Counseling Services
• Banke Agarwal, MD

• Dentist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2011; 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.