Lafazanos Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019023307 Issued in IL

Legal business name

LAFAZANOS DENTAL PC

Practice address

820 E Terra Cotta Ave
Suite 218/220
Crystal Lake, IL 60014-3649

Phone

(815) 455-5490

Fax

(815) 455-5498

NPI assigned

Feb 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Spiros J Lafazanos, DDS

Title

Ceo

Phone

(815) 455-5490

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1508188244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E TERRA COTTA AVE",
            "address_2": "SUITE 218/220",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143649",
            "telephone_number": "815-455-5490",
            "fax_number": "815-455-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E TERRA COTTA AVE",
            "address_2": "SUITE 218/220",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143649",
            "telephone_number": "815-455-5490",
            "fax_number": "815-455-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAZANOS DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "LAFAZANOS",
        "authorized_official_first_name": "SPIROS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-455-5490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnieszka B Kumar, DDS
• Thomas J Kwasiborski
• David Kwon, D.D.S
• Marilyn M C Lacrosse, M.D.
• Barbara A Ladd, LCSW
• Effie Lafazanos, RDH PHDH
• Zoee Lagerhausen, OTR/L
• Mark Lagerkvist, D.C.
• Kevin Edward Lahey, LSW
• Lakeview Counseling Services

• General Practice Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.