Eric Lafayette D.M.D LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ERIC LAFAYETTE D.M.D LLC

Practice address

703 Pelham Rd S
Jacksonville, AL 36265-2733

Phone

(256) 435-6193

NPI assigned

Apr 24, 2024

Organization subpart

No

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

Authorized official

Name

Eric Hudson Lafayette, D.M.DNPI 1164562450

Title

Owner

Phone

(256) 435-6193

Specialties & licenses 1

Addresses

Other names 1

• ERIC LAFAYETTE D.M.D LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Hudson La Fayette, D.M.D.

  • Dentist
  • Jacksonville, AL
  • NPI 1164562450
  NPD Authorized official

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1508612300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362652733",
            "telephone_number": "256-435-6193",
            "fax_number": "256-435-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362652733",
            "telephone_number": "256-435-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC LAFAYETTE D.M.D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "LAFAYETTE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "HUDSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-435-6193",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERIC LAFAYETTE D.M.D LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dental Clinic/Center in Jacksonville, AL
• Providers in Jacksonville, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.