Lake Park Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

FJ1784405 Issued in FL

Legal business name

LAKE PARK DENTAL

Practice address

16688 N Dale Mabry Hwy
Tampa, FL 33618-1400

Phone

(813) 960-9500

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Christine Schweikhart

Title

Insurance Coordinator

Phone

(813) 960-9500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1538514930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16688 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16688 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181400",
            "telephone_number": "813-960-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "SCHWEIKHART",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "813-960-9500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "FJ1784405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Laing
• Ashley Annette Lair, APRN-C
• Courtney Holtz Laird
• Dylan Laird
• Sharad R. Lakdawala, M.D.
• Jalissa Lake
• Kadejah Lake
• Beth Ann Lakes, LMHC
• Lakeside Home Care Services
• Lakeside Occupational Medical Centers, Inc.

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, 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 May 4, 2016; 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.