Lake Plaza Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401007015 Issued in VA

Legal business name

LAKE PLAZA DENTAL PC

Practice address

36101 Goodwin Dr
Locust Grove, VA 22508-2029

Phone

(540) 226-6744

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Arthur Torrey, DDSNPI 1891903167

Title

President/Owner

Phone

(540) 455-0107

Specialties & licenses 1

Addresses

Practitioners 1

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

• Edwin Arthur Torrey, DDS

  • Dentist
  • Locust Grove, VA
  • NPI 1891903167
  NPD (past) Authorized official

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1386147668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 HIDDEN CV",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225518919",
            "telephone_number": "540-455-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36101 GOODWIN DR",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225082029",
            "telephone_number": "540-226-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PLAZA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "TORREY",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "540-455-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401007015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylah Nacole Jones
• Kara Josephs
• Amelia Kane, PHARMD
• Robert A King, D.C.
• Katherine Ann Klopfer, O.D.
• Lake Plaza Moore-Ams, PLLC
• Lauren Nicole Langstone, DPT
• Locust Grove Dental Care, PC
• Locust Grove Eye Care PLLC
• Nora Clarke Lutyk

• Dental Clinic/Center in Locust Grove, VA
• Providers in Locust Grove, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.