Laurel Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAUREL DENTAL PC

Practice address

1730 Walton Rd Ste 112
Blue Bell, PA 19422-2301

Phone

(949) 305-2253

NPI assigned

Jun 25, 2019

Last updated

Feb 16, 2022By 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

Leighton Miller, DDS

Title

Owner

Phone

(949) 305-2253

Specialties & licenses 1

Addresses

Tax ID family

Laurel Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Laurel Dental PC

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1790430957
  NPD tax ID

Locations

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1679134241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ARGONAUT STE 220",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564105",
            "telephone_number": "949-305-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WALTON RD STE 112",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222301",
            "telephone_number": "949-305-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LEIGHTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-305-2253",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moody Kwok, MD
• Jennifer Landry
• Charles M Langman, D.P.M.
• Julie-Ann Lapointe, M.ED., BCBA, LBS
• Gregory Joseph Lattanzi, DC
• Alexandrya S. Lee, RPH
• Andrew Lee
• Hyejung Lee
• Hyoyoung Lee, D.C.
• Kyung Lee

• Dental Clinic/Center in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.