Ann L Lagonegro DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006522 Issued in VA

Legal business name

ANN L LAGONEGRO DMD PC

Practice address

6093 George Washington Memorial Hwy
Gloucester, VA 23061-3750

Phone

(804) 693-9600

Fax

(804) 693-7447

NPI assigned

Jan 25, 2007

Organization subpart

No

Name

Ann Lucille Lagonegro, DMDNPI 1710992060

Title

President

Phone

(804) 693-9600

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Lucille Lagonegro, D.M.D

  • Dentist
  • Gloucester, VA
  • NPI 1710992060
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2008.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1295880375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6093 GEORGE WASHINGTON MEMORIAL HWY",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613750",
            "telephone_number": "804-693-9600",
            "fax_number": "804-693-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6093 GEORGE WASHINGTON MEMORIAL HWY",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613750",
            "telephone_number": "804-693-9600",
            "fax_number": "804-693-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN L LAGONEGRO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "LAGONEGRO",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-693-9600",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Ammons, LPC
• Jennifer Anderson, NP
• Kelsey Anderson
• Kimberly Ann Anderson
• Tyler John Anderson
• Fredrick Sanders Arnold, MD
• Kristina Edwards Atkins, ED.S.
• Sherie H. Austin, M.D.
• Brandy Balzer
• Oleg V Bandurco

• All providers in Gloucester, VA
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.