Three Lakes Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5796 Issued in AL

Legal business name

THREE LAKES DENTAL, P.C.

Practice address

1619 Gilmer Ave
Tallassee, AL 36078-2313

Phone

(334) 252-9000

Fax

(334) 252-9003

NPI assigned

Aug 10, 2012

Last updated

Aug 10, 2012By 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. Eric S Harris, DMDNPI 1487965158

Title

Owner, Dentist

Phone

(334) 252-9000

Specialties & licenses 1

Addresses

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.

• Eric Steven Harris, D.M.D.

  • General Practice Dentistry
  • Tallassee, AL
  • NPI 1487965158
  Authorized official Same address or phone

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1497002216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360782313",
            "telephone_number": "334-252-9000",
            "fax_number": "334-252-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360782313",
            "telephone_number": "334-252-9000",
            "fax_number": "334-252-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE LAKES DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "334-252-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tallassee Health and Rehabilitation, LLC
• Tallassee Rehab PC
• Tallassee Urgent Care LLC
• The Gray Area Therapy
• Thomas D Bianchi M.D.P.a.
• Veronica Ellenmarie Wagner
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1057)
• Barbara Jean Watts, NP
• Kayton Weldon
• James P Westberry, MD

• General Practice Dentistry in Tallassee, AL
• Providers in Tallassee, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.