NPIMap

Organization Active NPI

Dent-Al Smiles, LLC

  • Dental Clinic/Center
  • Fairfield, OH
National Provider Identifier
1720510001
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30020814 Issued in OH
Legal business name
DENT-AL SMILES, LLC
Practice address
1115 Hicks Blvd
# 3
Fairfield, OH 45014-2889
Phone
(412) 779-4235
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Alvaro R Lazo, DMD
Title
Owner
Phone
(412) 779-4235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30020814 OH Primary

Addresses

Primary practice location

1115 Hicks Blvd
# 3
Fairfield, OH 45014-2889

Mailing address

1115 Hicks Blvd
# 3
Fairfield, OH 45014-2889
Phone (412) 779-4235

National Provider Directory

National Provider Directory

Locations

1115 Hicks Blvd
Ste 3
Fairfield, OH 45014
Phone (412) 779-4235

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1720510001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 HICKS BLVD",
            "address_2": "# 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142889",
            "telephone_number": "412-779-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 HICKS BLVD",
            "address_2": "# 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142889",
            "telephone_number": "412-779-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENT-AL SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "LAZO",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-779-4235",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30020814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.