Lake Worth Modern Dentistry, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAKE WORTH MODERN DENTISTRY, PA

Doing business as

Lake Worth Modern Dentistry

Practice address

3980 S Military TRL
Greenacres, FL 33463-3434

Phone

(561) 467-4439

Fax

(561) 584-8152

NPI assigned

Oct 8, 2021

Last updated

Oct 8, 2021By 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

Christopher Tolmie, DDS

Title

Owner

Phone

(561) 467-4439

Specialties & licenses 1

Addresses

Other names 1

• Lake Worth Modern Dentistry Doing business as

Locations

Practitioners 3

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.

• Massiel Del Carmen Madrigal

  • General Practice Dentistry
  • Greenacres, FL
  • NPI 1508441981
  NPD
• Juliette Ruiz, DMD

  • Dentist
  • Greenacres, FL
  • NPI 1033035662
  NPD (past)
• Hannah Elizabeth Tremain, DMD

  • Dentist
  • Boynton Beach, FL
  • NPI 1619651734
  NPD (past)

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1306508130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 S MILITARY TRL",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633434",
            "telephone_number": "561-467-4439",
            "fax_number": "561-584-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WORTH MODERN DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "TOLMIE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-467-4439",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Worth Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Worth Dentistry
• Lake Worth Family Dentistry, PA
• Lake Worth Medical & Rehab, LLC
• Lake Worth Medical Clinic Corp
• Lake Worth Medical PA
• Lake Worth Physical Therapy Inc
• Emma Lam
• Stecy Melissa Lambert
• Jean-Michel Lamour, MD
• Nora Lara

• General Practice Dentistry in Greenacres, FL
• Providers in Greenacres, 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 Oct 8, 2021; 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.