Organization Active NPI

LGB Dental, LLC

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1336454487
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LGB DENTAL, LLC
Practice address
4638 S Orange Blossom TRL
Orlando, FL 32839-1706
Phone
(407) 251-2223
Fax
(407) 251-2226
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Luz G BobadillaNPI 1942321765
Title
MGRM
Phone
(407) 251-2223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4638 S Orange Blossom TRL
Orlando, FL 32839-1706

Mailing address

4638 S Orange Blossom Trail
Orlando, FL 32839
Phone (407) 251-2223

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1336454487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 S ORANGE BLOSSOM TRAIL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32839",
            "telephone_number": "407-251-2223",
            "fax_number": "407-251-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4638 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391706",
            "telephone_number": "407-251-2223",
            "fax_number": "407-251-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGB DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "BOBADILLA",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "407-251-2223"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.