Lyngladen Silagan-Fernandez DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54428 Issued in CA

Legal business name

LYNGLADEN SILAGAN-FERNANDEZ DDS INC

Doing business as

Kingsly Dentistry

Practice address

1060 Harriman PL # C-3
San Bernardino, CA 92408-4204

Phone

(909) 799-7777

Fax

(909) 799-0044

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Lyngladen Fernandez

Title

Owner

Phone

(909) 799-7777

Specialties & licenses 1

Addresses

Other names 1

• Kingsly Dentistry Doing business as

Locations

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1255653473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 HARRIMAN PL # C-3",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084204",
            "telephone_number": "909-799-7777",
            "fax_number": "909-799-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 HARRIMAN PL # C-3",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084204",
            "telephone_number": "909-799-7777",
            "fax_number": "909-799-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNGLADEN SILAGAN-FERNANDEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LYNGLADEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-799-7777"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsly Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.