Laclair Family Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051383 Issued in NY

Legal business name

LACLAIR FAMILY DENTAL, PLLC

Practice address

111 S Mechanic St
Carthage, NY 13619-1606

Phone

(315) 493-1184

Fax

(315) 519-1545

NPI assigned

Oct 1, 2014

Last updated

Dec 18, 2015By 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. Robert Allen Laclair III, DDSNPI 1861446155

Title

Dentist

Phone

(315) 493-1184

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Robert A Laclair, D.D.S.

  • Dentist
  • Clayton, NY
  • NPI 1861446155
  NPD (past) Authorized official

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1699178913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MECHANIC ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191606",
            "telephone_number": "315-493-1184",
            "fax_number": "315-519-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MECHANIC ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191606",
            "telephone_number": "315-493-1184",
            "fax_number": "315-519-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACLAIR FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "LACLAIR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "315-493-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03075647",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Katherine Kent, PA-C
• Mulazim H Khan, MD
• Lydia L Kirschman, FNP
• Wojciech Jan Konopka, LMSW
• KPH Healthcare Services, Inc. (Kinney Drugs #06)
• Mackenzie Lamon, PA-C
• Jean Lavona Lee-Mosier, FNP
• Barbara Ann Lofink, RPH
• Ryann Maier, DPT
• Jacqueline Malcolm, LCSW

• General Practice Dentistry in Carthage, NY
• Providers in Carthage, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.