Laurence Edward Fendrich, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0008509 Issued in FL

Practice address

404 W Powell LN Ste 102
Austin, TX 78753-6256

Phone

(512) 301-1505

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Vip, PLLC

  • General Practice Dentistry
  • Austin, TX
  • NPI 1346726247
  NPD Authorized official
• Dental & Sedation Group, LLC

  • Dentist
  • Lighthouse Point, FL
  • NPI 1659796399
  NPD Authorized official
• GK Dental P.a.

  • General Practice Dentistry
  • Austin, TX
  • NPI 1790171221
  NPD
• Sedation Dental Spa of South Florida, LLC

  dba Michael A. Gorman DMD

  • Dentist
  • Lighthouse Point, FL
  • NPI 1265910129
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1457554818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 WESTHEIMER RD # 833",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981002",
            "telephone_number": "561-715-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W POWELL LN STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536256",
            "telephone_number": "512-301-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDRICH",
        "first_name": "LAURENCE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0008509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Rolland Fellows, PHD
• Luz Ileana Fellows, RD
• Brittany Fellwock, LPC-S
• Yvonne Marie Feltman, LCSW
• Kylie Christine Felty, RD, LD
• Jinzhi Feng
• Malka Fenig, LPC
• Douglas Edward-Maxwell Fenley, OTR
• Blayne Elizabeth Fenner, MD
• John Clare Fenner, M.S.S.W.

• General Practice Dentistry in Austin, TX
• Providers in Austin, 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 Sep 11, 2024; 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.