TDC Lakeview, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TDC LAKEVIEW, LLC

Doing business as

Lakeview Dental of Coral Springs

Practice address

1390 Coral Ridge Dr
Coral Springs, FL 33071-5434

Phone

(954) 752-7874

NPI assigned

Sep 17, 2018

Last updated

Sep 17, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

TOMALTY DENTAL CARE HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Sean Tomalty, DMD

Title

President

Phone

(561) 789-6611

Specialties & licenses 1

Addresses

Other names 1

• Lakeview Dental of Coral Springs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ingrid C Castillo, D.M.D

  • General Practice Dentistry
  • Coral Springs, FL
  • NPI 1689747123
  NPD (past)

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1518441591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 W BOYNTON BEACH BLVD STE 110",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724468",
            "telephone_number": "561-789-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715434",
            "telephone_number": "954-752-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDC LAKEVIEW, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOMALTY DENTAL CARE HOLDINGS, LLC",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "TOMALTY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-789-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Dental of Coral Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Taylor, PHARMD
• Karis Taylor
• Marlon B Taylor
• Patricia H. Taylor, LMFT, PHD
• Shayla Elizabeth Taylor, PHARMD
• TDC Parkland
• Televisitmd Inc
• Damaris Tello, MSPT
• Edna Lillian Tello, M.D.
• Jennie Telus

• General Practice Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.