Normandy Lake Dentistry Partners LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORMANDY LAKE DENTISTRY PARTNERS LLC

Practice address

2845 University Blvd W
Jacksonville, FL 32217-2116

Phone

(904) 293-2520

NPI assigned

Nov 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Joseph King Lee, DMD

Title

Ceo

Phone

(786) 252-2617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1194548800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172116",
            "telephone_number": "786-252-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172116",
            "telephone_number": "904-293-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMANDY LAKE DENTISTRY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-252-2617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn D Norman
• H. Lynn Norman, M.D.
• Janei Cierra Norman
• Justus Norman
• Normandy Dentistry
• Normandy Opco LLC
• Mackenzie Norrell
• David W Norris, OTR/L
• Gregory Alan Norris Jr., NP-C
• Shawn Norris, RID: ED K-12

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, 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 Nov 2, 2024; 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.