LTC Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LTC DENTAL PC

Practice address

2000 Southlake Park
Suite 250
Hoover, AL 35244-3616

Phone

(205) 278-3316

Fax

(623) 321-6268

NPI assigned

Sep 18, 2009

Organization subpart

No

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

Authorized official

Name

David Cowan, DMD

Title

Owner/President

Phone

(205) 655-5144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1780917005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH ST",
            "address_2": "SUITE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241689",
            "telephone_number": "877-929-0030",
            "fax_number": "877-929-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SOUTHLAKE PARK",
            "address_2": "SUITE 250",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443616",
            "telephone_number": "205-278-3316",
            "fax_number": "623-321-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "205-655-5144",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kirsten Abigail Loveridge, PHD, LPC, NCC, CST
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• Nicholas Robert Paul Ludvik, M.D.
• Windy G. Lujano, LMT
• Adam Macgregor Lukasiewicz, MD
• Erald Lula

• General Practice Dentistry in Hoover, AL
• Providers in Hoover, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.