Mary E Lomotan-Shaeffer, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16384 Issued in FL

Practice address

6100 Greenland Rd
Suite #502
Jacksonville, FL 32258-2453

Phone

(904) 723-4407

Fax

(904) 723-4406

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary E Lomotan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1750408845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD",
            "address_2": "SUITE #502",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582453",
            "telephone_number": "904-723-4407",
            "fax_number": "904-723-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD",
            "address_2": "SUITE #502",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582453",
            "telephone_number": "904-723-4407",
            "fax_number": "904-723-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMOTAN-SHAEFFER",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "16384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LOMOTAN",
            "middle_name": "E",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marijean T Lombardi, LCMT
• Matthew George Lombardi, DO
• Kasuda Lombardo, CRNA
• Theodore Albert Lombardo, PSY.D.
• Lomisa Inc
• Angela Lomotey
• Londi, LLC
• London Obstetric and Gynecologic Services, PA
• Jennifer Beth London, OT
• Karyn London

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.