NPIMap

Organization Active NPI

Dentistry at the Commons

Doing business as Lake Dental

  • Dental Clinic/Center
  • Seneca, SC
National Provider Identifier
1194365643
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTISTRY AT THE COMMONS
Doing business as
Lake Dental
Practice address
11 Professionals Cir
Seneca, SC 29678-2669
Phone
(864) 882-0134
NPI assigned
Jan 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Dr. Lindsey D Burbank Jr., DDSNPI 1750574307
Title
Owner
Phone
(352) 250-7079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11 Professionals Cir
Seneca, SC 29678-2669

Mailing address

77 Angus Run
Seneca, SC 29672-6657

Other names 1

  • Lake Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL email

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1194365643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ANGUS RUN",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296726657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONALS CIR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782669",
            "telephone_number": "864-882-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY AT THE COMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "BURBANK",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-250-7079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "11 Professionals Cir",
            "city": "Seneca",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296782669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lake Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.