L&L Beville Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN7283 Issued in FL

Legal business name

L&L BEVILLE DENTAL LLC

Doing business as

Beville Dental Care

Practice address

911 Beville Road
Suite 1
South Daytona, FL 32119-3211

Phone

(386) 761-2273

Fax

(407) 386-9000

NPI assigned

Mar 28, 2018

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley M Zdenek

Title

Office Manager

Phone

(386) 761-2273

Specialties & licenses 1

Addresses

Other names 1

• Beville Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adriana Correa Porter, DMD

  • General Practice Dentistry
  • South Daytona, FL
  • NPI 1336358704
  NPD (past)

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1285139527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BEVILLE RD STE 1",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191726",
            "telephone_number": "386-761-2273",
            "fax_number": "407-386-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BEVILLE ROAD",
            "address_2": "SUITE 1",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193211",
            "telephone_number": "386-761-2273",
            "fax_number": "407-386-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&L BEVILLE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "ZDENEK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-761-2273"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN7283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beville Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beville Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Kowalczyk
• Trent Gregory Kozman, D.C.
• Dennis Andrew Kuack, DDS
• James Kulis, APRN
• Gerald Stephen Kyer, LICSW
• Levi Langdale, OT
• Patrick John Larrazabal, MD
• Laura Kay Lavespere
• Pamela Marie Lavigna, M.A.
• Phyllis Lavigna, LCSW

• Dental Clinic/Center in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.