Kathleen M. Du Lac, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17088 Issued in FL

Practice address

2500 W Lake Mary Blvd
Lake Mary, FL 32746-3501

Phone

(407) 328-6411

NPI assigned

Mar 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1598724296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 N PINE MEADOW DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132305",
            "telephone_number": "407-340-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAKE MARY BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463501",
            "telephone_number": "407-328-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU LAC",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. David Nussear, M.D.
• Isabel F Drake
• Kathy Dressel
• Kyle Drew
• Aleksander Druck, MD
• Hakim D Du Pree
• Jessica Du, D.D.S
• Sarah Dubner
• Gaston Edward Dudley IV
• Alyssa Lee Duemmling

• General Practice Dentistry in Lake Mary, FL
• Providers in Lake Mary, 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 Jan 24, 2011; 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.