Active NPI
Lorraine W Lafontaine, DDS
- Public Health Dentistry
- Buford, GA
National Provider Identifier
1457319030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- DN010526
- Practice address
- 2755 Sawnee Ave
Buford, GA 30518-2560 - Phone
- (770) 614-2427
- Fax
- (770) 614-2449
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DN010526 | GA | Primary |
Addresses
Primary practice location
2755 Sawnee Ave
Buford, GA 30518-2560
Mailing address
PO Box 897
Lawrenceville, GA 30046-0897
Phone (770) 339-4260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160727002215 | GA | Order and Referring Only - Oral Surgery | 6507172905 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN010526 | GA | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457319030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 897",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300460897",
"telephone_number": "770-339-4260",
"fax_number": "770-963-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 SAWNEE AVE",
"city": "BUFORD",
"state": "GA",
"postal_code": "305182560",
"telephone_number": "770-614-2427",
"fax_number": "770-614-2449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFONTAINE",
"first_name": "LORRAINE",
"middle_name": "W",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "GA",
"license": "DN010526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.