Active NPI
Lakeland Periodontics, Inc
- Periodontics
- Lakeland, FL
National Provider Identifier
1508892225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- LAKELAND PERIODONTICS, INC
- Practice address
- 3003 S Florida Ave
Suite 201
Lakeland, FL 33803-4050 - Phone
- (863) 687-9227
- Fax
- (863) 687-2813
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna L Todd
- Title
- Insurance Coordinator
- Phone
- (863) 687-9227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | Primary |
Addresses
Primary practice location
3003 S Florida Ave
Suite 201
Lakeland, FL 33803-4050
Mailing address
3003 S Florida Ave
Suite 201
Lakeland, FL 33803-4050
Phone (863) 687-9227
National Provider Directory
National Provider DirectoryLocations
3003 S Florida Ave
Ste 201
Lakeland, FL 33803
Phone (863) 687-9227
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Lakeland, FL
- NPI 1386673697
-
- Periodontics
- Lakeland, FL
- NPI 1730118043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508892225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 S FLORIDA AVE",
"address_2": "SUITE 201",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034050",
"telephone_number": "863-687-9227",
"fax_number": "863-687-2813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 S FLORIDA AVE",
"address_2": "SUITE 201",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034050",
"telephone_number": "863-687-9227",
"fax_number": "863-687-2813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKELAND PERIODONTICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "INSURANCE COORDINATOR",
"authorized_official_telephone_number": "863-687-9227"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
- Lakeland Nursing and Rehabilitation, LLC
- Lakeland Oaks NH LLC
- Lakeland OBGYN PA
- Lakeland Oral Surgery and Specialty Center PLLC
- Lakeland Pathologists, PA
- Lakeland Physicians & Associates, LLC
- Lakeland Physicians Group
- Lakeland Physicians Group LLC
- Lakeland Primary Care Associates
- Lakeland Professional Hearing Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.