Buenos Aires Dental, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14668 Issued in FL

Legal business name

BUENOS AIRES DENTAL, INC

Doing business as

Lake Quality Dental, Inc

Practice address

1503 Buenos Aires Blvd Ste 125
The Villages, FL 32159-6821

Phone

(352) 753-5838

Fax

(352) 391-5837

NPI assigned

Feb 17, 2009

Last updated

Feb 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phuong (Helene) D Ta, DDS

Title

President/ Owner

Phone

(352) 255-5538

Specialties & licenses 1

Addresses

Other names 1

• Lake Quality Dental, Inc Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phuong Helene Ta, DDS

  • General Practice Dentistry
  • Grand Island, FL
  • NPI 1811050917
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1467691212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD STE 125",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596821",
            "telephone_number": "352-753-5838",
            "fax_number": "352-391-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD STE 125",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596821",
            "telephone_number": "352-753-5838",
            "fax_number": "352-391-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENOS AIRES DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "PHUONG (HELENE)",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "352-255-5538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Quality Dental, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lory Bruno
• Christina Bryant
• Evelyn Bryon, M.D.
• Robert S. Buckley, PA-C
• Buena Vista Dental
• Darcelle Denise Burandt, LPC
• Pamela Marie Bureau, RN, CDE
• Wayne Carroll Burgess Jr., MD
• John Stephen Burgfechtel, MD
• Kaitlyn Burke, OTD

• General Practice Dentistry in The Villages, FL
• Providers in The Villages, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.