Active NPI
Laurel Dental Dre PLLC
- Dentist
- London, KY
National Provider Identifier
1235915489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- LAUREL DENTAL DRE PLLC
- Practice address
- 1303 S Laurel Rd
London, KY 40744-8304 - Phone
- (606) 877-2700
- NPI assigned
- Sep 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James G White, DDS
- Title
- Managing Member
- Phone
- (859) 533-1109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1303 S Laurel Rd
London, KY 40744-8304
Mailing address
105 Spruce St
Lexington, KY 40507-2109
Phone (859) 533-1109
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693872000000",
"number": "1235915489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SPRUCE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405072109",
"telephone_number": "859-533-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 S LAUREL RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407448304",
"telephone_number": "606-877-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL DENTAL DRE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "859-533-1109",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.