LDT Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LDT DENTAL LLC

Practice address

168 SE 1St St Ste 1B
Miami, FL 33131-1403

Phone

(305) 372-1020

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Lauren Tuckman, DMDNPI 1386173896

Title

Owner/General Dentist

Phone

(561) 212-6362

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Tuckman, DMD

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
  • NPI 1386173896
  NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1225844269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DAYTONIA RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331411732",
            "telephone_number": "561-212-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 SE 1ST ST STE 1B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311403",
            "telephone_number": "305-372-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "TUCKMAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "561-212-6362",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Miami, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.