Active NPI
Kevin M. Lacour, DDS, PC
- Dentist
- Lilburn, GA
National Provider Identifier
1568013555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- KEVIN M. LACOUR, DDS, PC
- Doing business as
- Lacour Family Dentistry
- Practice address
- 5400 Lawrenceville Hwy NW Ste D
Lilburn, GA 30047-5956 - Phone
- (770) 921-6606
- Fax
- (770) 921-6919
- NPI assigned
- Sep 23, 2019
- 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
- Kevin M Lacour, DDS
- Title
- Owner
- Phone
- (770) 921-6606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
5400 Lawrenceville Hwy NW Ste D
Lilburn, GA 30047-5956
Mailing address
5400 Lawrenceville Hwy NW Ste D
Lilburn, GA 30047-5956
Phone (770) 921-6606
Other names 1
- Lacour Family Dentistry
National Provider Directory
National Provider DirectoryLocations
5400 Lawrenceville Hwy NW
Ste D
Lilburn, GA 30047
Phone (678) 368-4396
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Lilburn, GA
- NPI 1033204821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569196800000",
"number": "1568013555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 LAWRENCEVILLE HWY NW STE D",
"city": "LILBURN",
"state": "GA",
"postal_code": "300475956",
"telephone_number": "770-921-6606",
"fax_number": "770-921-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 LAWRENCEVILLE HWY NW STE D",
"city": "LILBURN",
"state": "GA",
"postal_code": "300475956",
"telephone_number": "770-921-6606",
"fax_number": "770-921-6919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN M. LACOUR, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A",
"authorized_official_last_name": "LACOUR",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-921-6606",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lacour Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.