Organization Active NPI

Laetitia I. Sery, DDS, PLLC

  • Pediatric Dentistry
  • Gastonia, NC
National Provider Identifier
1679004584
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8474 Issued in NC
Legal business name
LAETITIA I. SERY, DDS, PLLC
Practice address
1367 E Garrison Blvd Ste B
Gastonia, NC 28054-5144
Phone
(980) 320-8479
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Dr. Laetitia Sery, DDSNPI 1740325232
Title
Dentist/Owner
Phone
(704) 860-0945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 8474 NC Primary

Addresses

Primary practice location

1367 E Garrison Blvd Ste B
Gastonia, NC 28054-5144

Mailing address

1367 E Garrison Blvd Ste B
Gastonia, NC 28054-5144

Other names 1

  • Gastonia Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1367 E Garrison Blvd
Ste B
Gastonia, NC 28054
Phone (704) 860-0945

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": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1679004584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 E GARRISON BLVD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 E GARRISON BLVD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545144",
            "telephone_number": "980-320-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAETITIA I. SERY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "SERY",
        "authorized_official_first_name": "LAETITIA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "704-860-0945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "8474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastonia Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.