Affordable Dentures & Implants - Lake Mary, P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AFFORDABLE DENTURES & IMPLANTS - LAKE MARY, P.A.

Practice address

890 S Sun Dr
Lake Mary, FL 32746-2406

Phone

(404) 333-4610

NPI assigned

Sep 28, 2018

Last updated

Oct 10, 2018By 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

Daniel Fenton, DMD

Title

Practice Owner

Phone

(404) 333-4610

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1356826945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 S SUN DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 S SUN DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462406",
            "telephone_number": "404-333-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - LAKE MARY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "404-333-4610",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adventist Health System/Sunbelt Inc. (AdventHealth Centra Care - Lake Mary)
• Adventist Health System/Sunbelt, Inc (AdventHealth Total Health Management DBA AdventHealth Primary Care Plus Lake Mary)
• Adventist Health System/Sunbelt, Inc. (Advent Health Total Health Management - Lake Mary)
• Adventist Health System/Sunbelt, Inc. (AdventHealth Centra Care Kids Lake Mary)
• Affordable Dentures & Implants - Lake Mary II, P.a.
• Jacob K Agamasu, MD
• Sumita Aggarwal, MD
• Ayesha R Ahmar, MD
• Abdul Quyyum Ahmed, MD
• Rafat Ahmed, ARNP

• Dentist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.