LV Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

27858 Issued in TX

Legal business name

LV DENTAL PLLC

Doing business as

GERLACH & WILLARD DENTAL ASSOCIATES

Practice address

5425 W Spring Creek Pkwy
Suite 165
Plano, TX 75024-4236

Phone

(972) 964-1855

Fax

(972) 943-9301

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Charles Willard, DMD

Title

Owner

Phone

(972) 964-1855

Specialties & licenses 2

Addresses

Other names 1

• GERLACH & WILLARD DENTAL ASSOCIATES Doing business as

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1225495278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY",
            "address_2": "SUITE 165",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244236",
            "telephone_number": "972-964-1855",
            "fax_number": "972-943-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY",
            "address_2": "SUITE 165",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244236",
            "telephone_number": "972-964-1855",
            "fax_number": "972-943-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LV DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "WILLARD",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-964-1855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15500",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GERLACH & WILLARD DENTAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pamela Louisa Luyo
• Hanh Thihong Ly
• Jimmy Calvin Ly, PHARMD
• Johnson Ly, OD
• Shannon Noel Cotter Lyle, LPC-S
• Steve Lyman, PH.D., TH.M., LPC-S,

• Dentist in Plano, TX
• Providers in Plano, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.