Organization Active NPI

Kevin M. Lacour, DDS, PC

  • Dentist
  • Lilburn, GA
National Provider Identifier
1568013555
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Sep 23, 2019

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.