Serenity Dentistry Spa, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15788 Issued in FL

Legal business name

SERENITY DENTISTRY SPA, LLC

Practice address

972 Del Mar Dr
Lady Lake, FL 32159-7705

Phone

(352) 350-1933

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Maria T Luong, D.M.D.NPI 1689825176

Title

Dentist

Phone

(352) 350-1933

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.

• Maria Trinh Luong, D.M.D

  • General Practice Dentistry
  • Tavares, FL
  • NPI 1689825176
  NPD Authorized official

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1295053809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 DEL MAR DR",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321597705",
            "telephone_number": "352-350-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 DEL MAR DR",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321597705",
            "telephone_number": "352-350-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DENTISTRY SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "352-350-1933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.