Lauderdale Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13892 Issued in GA

Legal business name

LAUDERDALE DENTAL LLC

Practice address

6783 Veterans Pkwy
Columbus, GA 31909-3254

Phone

(706) 321-3909

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Candace Lauderdale, DMD

Title

DMD/Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1295152254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6783 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093254",
            "telephone_number": "706-321-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUDERDALE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "LAUDERDALE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "315-454-6000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "13892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara Elise Laschober, LPC
• Alyson Last, RD, LD
• Andreaous Latimer
• Latinos Unidos de Columbus Ga Inc
• Toporshea Joanna Lattimor
• Candace Latham Lauderdale, D.M.D
• Antonio Laudito, MD
• Felicia Antoinette Laughlin-Ajala
• Lisa Dianne Lavallee, LAPC
• Patricia Law

• General Practice Dentistry in Columbus, GA
• Providers in Columbus, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.