Lakewood Dental Associates, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

27909 Issued in TX

Legal business name

LAKEWOOD DENTAL ASSOCIATES, PLLC

Practice address

901 Normal Park Dr
Suite 200
Huntsville, TX 77320-3770

Phone

(936) 689-6544

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Jeffrey Clark, D.M.D.NPI 1003100934

Title

Owner/Dentist

Phone

(936) 689-6544

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Paul Clark, D.M.D.

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1003100934
  NPD Authorized official

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1760723381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NORMAL PARK DR",
            "address_2": "SUITE 200",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773203770",
            "telephone_number": "936-689-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NORMAL PARK DR",
            "address_2": "SUITE 200",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773203770",
            "telephone_number": "936-689-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "936-689-6544",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "27909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KTJP Huntsville Dental PLLC
• Nikita L'Shay Lagway
• Eid Lahoud
• John V Lai
• Lakewood Arthritis and Osteoporosis Clinic PLLC
• Brandon K Lawson, CPHT
• Josselyn Lazo
• LDHV, LLC
• Townes R. Leigh Jr., D.O.
• Rose Anna Renee Lerma, LMT

• Dental Clinic/Center in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.