Organization Active NPI

Lafond and Tambini DMD, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Summerville, SC
National Provider Identifier
1528040755
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3170 Issued in SC
Legal business name
LAFOND AND TAMBINI DMD, PA
Practice address
455 Trolley Rd
Suite E
Summerville, SC 29485-5669
Phone
(843) 851-0104
Fax
(843) 851-0210
NPI assigned
Nov 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mrs. Toni B Lafond
Title
Insurance Coordiantor
Phone
(843) 851-0104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 3170 SC Primary

Addresses

Primary practice location

455 Trolley Rd
Suite E
Summerville, SC 29485-5669

Mailing address

455 Trolley Rd
Suite E
Summerville, SC 29485-5669
Phone (843) 851-0104

Other identifiers 1

IdentifierTypeStateIssuer
ZA9862MedicaidSC

Other names 1

  • Jonathan M. Lafond DMD, PA Former legal business name

National Provider Directory

National Provider Directory

Locations

455 Trolley Rd
Ste E
Summerville, SC 29485
Phone (843) 851-0104

455 Old Trolley Rd
Summerville, SC 29485

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1528040755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TROLLEY RD",
            "address_2": "SUITE E",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855669",
            "telephone_number": "843-851-0104",
            "fax_number": "843-851-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TROLLEY RD",
            "address_2": "SUITE E",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855669",
            "telephone_number": "843-851-0104",
            "fax_number": "843-851-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFOND AND TAMBINI DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LAFOND",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "INSURANCE COORDIANTOR",
        "authorized_official_telephone_number": "843-851-0104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "3170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9862",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan M. Lafond DMD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.