Active NPI
Robert W Ladley D.M.D. PA
- Endodontics
- Tavares, FL
National Provider Identifier
1184775421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 9260
- Legal business name
- ROBERT W LADLEY D.M.D. PA
- Practice address
- 320A W Burleigh Blvd
Tavares, FL 32778-2410 - Phone
- (352) 742-3383
- Fax
- (352) 742-3583
- NPI assigned
- Jan 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert William Ladley, D.M.D.
- Title
- Endodontist
- Phone
- (352) 742-3383
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 9260 | FL | Primary |
Addresses
Primary practice location
320A W Burleigh Blvd
Tavares, FL 32778-2410
Mailing address
37918 N County Road 44a
Eustis, FL 32736-8329
Phone (352) 357-5976
National Provider Directory
National Provider DirectoryLocations
320 W Burleigh Blvd
Ste A
Tavares, FL 32778
Phone (352) 742-3383
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Tavares, FL
- NPI 1073937355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184775421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37918 N COUNTY ROAD 44A",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327368329",
"telephone_number": "352-357-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320A W BURLEIGH BLVD",
"city": "TAVARES",
"state": "FL",
"postal_code": "327782410",
"telephone_number": "352-742-3383",
"fax_number": "352-742-3583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT W LADLEY D.M.D. PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LADLEY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "ENDODONTIST",
"authorized_official_telephone_number": "352-742-3383",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "9260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.