Laser & Cosmetic Dentistry of Delray, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LASER & COSMETIC DENTISTRY OF DELRAY, INC.

Practice address

15300 Jog Rd
Suite 210
Delray Beach, FL 33446-2162

Phone

(561) 499-6664

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

Alain Pouleriguen, DMD

Title

Vice President

Phone

(561) 499-6664

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1205260296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 JOG RD",
            "address_2": "SUITE 210",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462162",
            "telephone_number": "561-499-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 JOG RD",
            "address_2": "SUITE 210",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462162",
            "telephone_number": "561-499-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER & COSMETIC DENTISTRY OF DELRAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "POULERIGUEN",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-499-6664",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.