Serene Dental Group of Lake Worth, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SERENE DENTAL GROUP OF LAKE WORTH, LLC

Doing business as

anderson dental

Practice address

6045 Hagen Ranch Rd
Lake Worth, FL 33467

Phone

(561) 508-2173

Fax

(561) 619-7941

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Charlene D Belcher

Title

Office Manager

Phone

(561) 508-2173

Specialties & licenses 1

Addresses

Other names 1

• anderson dental Doing business as

Locations

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1255887535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 HAGEN RANCH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "561-508-2173",
            "fax_number": "561-619-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 HAGEN RANCH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "561-508-2173",
            "fax_number": "561-619-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE DENTAL GROUP OF LAKE WORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-508-2173"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "anderson dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.