Active NPI
Lafond and Tambini DMD, PA
- Oral and Maxillofacial Surgery (Dentist)
- Summerville, SC
National Provider Identifier
1528040755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 3170
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA9862 | Medicaid | SC |
Other names 1
- Jonathan M. Lafond DMD, PA
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral and Maxillofacial Pathology Dentistry
- Summerville, SC
- NPI 1871606830
-
- Oral and Maxillofacial Surgery (Dentist)
- Summerville, SC
- NPI 1467565432
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.