Organization Active NPI

Lourenco DDS. Inc

  • Dental Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1730467044
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
56298 Issued in CA
Legal business name
LOURENCO DDS. INC
Doing business as
MY TOOTH PLACE
Practice address
12112 Brookhurst Street
Suite 1
Garden Grove, CA 92840-2844
Phone
(714) 539-7974
Fax
(714) 539-7976
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Dr. Aury Arroyo Lourenco, DDS
Title
President
Phone
(714) 539-7974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 56298 CA Primary

Addresses

Primary practice location

12112 Brookhurst Street
Suite 1
Garden Grove, CA 92840-2844

Mailing address

12112 Brookhurst St
Suite 1
Garden Grove, CA 92840-2844
Phone (714) 539-7974

Other names 1

  • MY TOOTH PLACE Doing business as

National Provider Directory

National Provider Directory

Locations

12112 Brookhurst St
Ste 1
Garden Grove, CA 92840
Phone (714) 539-7974

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1730467044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 BROOKHURST ST",
            "address_2": "SUITE 1",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402844",
            "telephone_number": "714-539-7974",
            "fax_number": "714-539-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 BROOKHURST STREET",
            "address_2": "SUITE 1",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402844",
            "telephone_number": "714-539-7974",
            "fax_number": "714-539-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURENCO DDS. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "LOURENCO",
        "authorized_official_first_name": "AURY",
        "authorized_official_middle_name": "ARROYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-539-7974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY TOOTH PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.