Lakeview Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

32086 Issued in TX

Legal business name

LAKEVIEW DENTAL, LLC

Practice address

1309 Paluxy Rd
Granbury, TX 76048-5663

Phone

(817) 573-3724

Fax

(817) 573-9251

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Wyatt O'Grady, DDSNPI 1740733344

Title

Owner/Dentist

Phone

(817) 573-3724

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Wyatt Jacob O'Grady, D.D.S.

  • General Practice Dentistry
  • Granbury, TX
  • NPI 1740733344
  NPD (past) Authorized official
• Casey Landon Carr, DDS

  • Dentist
  • Hico, TX
  • NPI 1316676687
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1770078289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485663",
            "telephone_number": "817-573-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485663",
            "telephone_number": "817-573-3724",
            "fax_number": "817-573-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "O'GRADY",
        "authorized_official_first_name": "WYATT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "817-573-3724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "32086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Granbury Hospital-Based Professional Services
• Lake Granbury Internal Medicine & Pediatrics, PA
• Lake Pointe Resource Center, Inc.
• Lakeshore ENT
• Lakeside Family Care Clinic
• Matthew Edward Lambert, PH.D.
• Megan Ann Landress, LCDC
• Donald Henry Lane, PH.D.
• Addison Langston
• Alisa L Larue, OTR

• Dental Clinic/Center in Granbury, TX
• Providers in Granbury, 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 Jun 27, 2018; 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.