Home Town Dental of Lake Worth PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HOME TOWN DENTAL OF LAKE WORTH PC

Practice address

6332 Lake Worth Blvd
Lake Worth, TX 76135-3602

Phone

(817) 237-3222

Fax

(817) 237-0101

NPI assigned

Nov 21, 2008

Organization subpart

No

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

Authorized official

Name

Patty Sanchez

Title

Regional Manager

Phone

(817) 927-8500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1437304128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 LAKE WORTH BLVD",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353602",
            "telephone_number": "817-237-3222",
            "fax_number": "817-237-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 LAKE WORTH BLVD",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353602",
            "telephone_number": "817-237-3222",
            "fax_number": "817-237-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TOWN DENTAL OF LAKE WORTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "817-927-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Tanner Graham, BCBA
• Green Oaks Physical Therapy Limited Partnership
• Thomas Haltom, RPH
• Heathers Old Skool Village
• Joe Hinojosa, RN
• Home Town Dental,PA
• Kaye Hrubes, B.S. PHARMACY
• Amy Jean Hyde, PHARM D.
• Ideal Eyecare, P.a.
• Hiba Samar Iqbal, DDS

• General Practice Dentistry in Lake Worth, TX
• Providers in Lake Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.