Organization Active NPI

Lincoln Dental Services Inc.

  • General Practice Dentistry
  • Lincolnton, NC
National Provider Identifier
1467965483
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LINCOLN DENTAL SERVICES INC.
Practice address
111 Doctors Park
Lincolnton, NC 28092-4407
Phone
(704) 735-2230
Fax
(704) 735-4577
NPI assigned
Nov 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Dr. Cordell Scott, D.M.D.
Title
Doctor & Board Member
Phone
(704) 718-1739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

111 Doctors Park
Lincolnton, NC 28092-4407

Mailing address

111 Doctors Park
Lincolnton, NC 28092-4407
Phone (704) 735-2230

Other identifiers 1

IdentifierTypeStateIssuer
899012NMedicaidNC

Other names 1

  • Lincoln County Dental Health Services Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1467965483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DOCTORS PARK",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924407",
            "telephone_number": "704-735-2230",
            "fax_number": "704-735-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOCTORS PARK",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924407",
            "telephone_number": "704-735-2230",
            "fax_number": "704-735-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN DENTAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CORDELL",
        "authorized_official_title_or_position": "DOCTOR & BOARD MEMBER",
        "authorized_official_telephone_number": "704-718-1739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899012N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln County Dental Health Services Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.