L. Kenneth Clifford DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34280 Issued in CA

Legal business name

L. KENNETH CLIFFORD DDS, INC.

Practice address

5910 Clark Rd
Suite a
Paradise, CA 95969-4856

Phone

(530) 877-0189

Fax

(530) 877-0187

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Kenneth Clifford, DDS

Title

Owner

Phone

(530) 877-0189

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336299239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 CLARK RD",
            "address_2": "SUITE A",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694856",
            "telephone_number": "530-877-0189",
            "fax_number": "530-877-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 CLARK RD",
            "address_2": "SUITE A",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694856",
            "telephone_number": "530-877-0189",
            "fax_number": "530-877-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. KENNETH CLIFFORD DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-877-0189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha W Krapf, ASW
• Pamela Kay Krueger
• Jennifer Lynn Kueter
• Bob Kurts, P.A.
• Vashty Abigail Kyle
• Laura Lee Lambert-Smith
• Monica Larraine Lando
• Gregory Scott Lang, MD
• Timothy Ryan Langhoff, SUDCC
• Janice Annette Lashley, ACSW

• General Practice Dentistry in Paradise, CA
• Providers in Paradise, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.