Ortho Dental Lab, LLC

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

ORTHO DENTAL LAB, LLC

Practice address

1530 Antioch Pike Ste 105
Antioch, TN 37013-3479

Phone

(855) 604-7052

NPI assigned

Sep 17, 2026

Organization subpart

No

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

Authorized official

Name

David Katzman

Title

Member

Phone

(855) 604-7052

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1497666390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 ANTIOCH PIKE STE 105",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 ANTIOCH PIKE STE 105",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133479",
            "telephone_number": "855-604-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO DENTAL LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "KATZMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "855-604-7052"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Laboratory in Antioch, TN
• Providers in Antioch, TN by specialty
• Dental Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.