Five Star Orthodontic Laboratory & Supply, Inc.

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

FIVE STAR ORTHODONTIC LABORATORY & SUPPLY, INC.

Practice address

2928 Metro St Ste 102
Denton, TX 76207-4304

Phone

(800) 521-2351

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Loch

Title

Vice President

Phone

(800) 521-2351

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1457969909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762020888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 METRO ST STE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762074304",
            "telephone_number": "800-521-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR ORTHODONTIC LABORATORY & SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "LOCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-521-2351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Matthew Fisher
• Laura A. Fisher, DDS
• Taya M Fisher, COTA
• Sharon Michelle Fitzhugh
• Sara Fitzpatrick
• Herbert John Flachofsky, CRNA
• Laura Flanders
• Darcee Fletcher
• Joseph D Fletcher, M.D.
• Sara Elizabeth Flinn, DPT

• Dental Laboratory in Denton, TX
• Providers in Denton, TX by specialty
• Dental Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.