Lakewood Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAKEWOOD DENTISTRY, LLC

Practice address

2845 University Blvd W
Jacksonville, FL 32217-2116

Phone

(904) 990-4832

NPI assigned

Sep 13, 2018

Last updated

Sep 13, 2018By 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. Joseph Lee, DMDNPI 1629232145

Title

President, Ceo, Dentist

Phone

(904) 990-4832

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph King Lee, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1629232145
  NPD Authorized official

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1679056758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 GAINES CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172672",
            "telephone_number": "904-990-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172116",
            "telephone_number": "904-990-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT, CEO, DENTIST",
        "authorized_official_telephone_number": "904-990-4832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakeside Dental Surgery Center LLC
• Lakeside SNF Operations LLC (Lakeside Center for Rehabilitation and Healing)
• Lakeview Health Systems, LLC
• Lakewood Chiropractic Clinic, PA
• Laura Ann Lakey
• Ajay Lakhanpal, OTR/L
• Jane Lakin, DPT
• Lakou Nou LLC
• Shiva Lakshmin, MD

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.