Laura Van de Water, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

26888 Issued in FL

Practice address

10429 Moss Park Rd
Orlando, FL 32832-5812

Phone

(407) 277-1779

NPI assigned

Jun 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Nona Dental Group PLC

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1740403492
  NPD (past)

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1508596768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780174",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328780174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10429 MOSS PARK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325812",
            "telephone_number": "407-277-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE WATER",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "26888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crisberth Valor
• Jeff Valsin, MD
• Pia C Valvassori, ARNP
• Peter Van Acker
• Kary Lamar Van Allen, M.D.
• Willem G Van de Wouw, PT
• Egerton K Van Den Berg Jr., M.D.
• Frans Van Dijk, M.D.
• Keith Camper Van Dyke, M.D.
• Travis Boyd Van Dyke, MD

• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.