Cosmetic and Restorative Dentistry of Lake Mary

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN13068 Issued in FL

Legal business name

COSMETIC AND RESTORATIVE DENTISTRY OF LAKE MARY

Practice address

737 Stirling Center PL
Suite 1011
Lake Mary, FL 32746-4856

Phone

(407) 805-8808

NPI assigned

Jun 30, 2008

Last updated

Jun 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alfredo M Gapuz, D.M.D.

Title

Owner

Phone

(407) 251-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1649432881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 STIRLING CENTER PL",
            "address_2": "SUITE 1011",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464856",
            "telephone_number": "407-805-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 STIRLING CENTER PL",
            "address_2": "SUITE 1011",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464856",
            "telephone_number": "407-805-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND RESTORATIVE DENTISTRY OF LAKE MARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "GAPUZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-251-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Cornette
• Kayla Budney Corriveau
• Bobbie Joe Cortes
• Jennifer Cortez, RBT
• Nancy Corwin
• Suheily Costanzo
• Nancy Jawor Costlow, PHARM.D.
• Courtney Mullins
• Jessica Monique Covington, M.D.
• Karrleen Izzie Cowing

• 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 Jun 30, 2008; 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.