Ludford Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-016700 Issued in IL

Legal business name

LUDFORD DENTAL, P.C.

Practice address

6315 Northwest Hwy
Suite a
Crystal Lake, IL 60014-7939

Phone

(815) 455-3368

Fax

(815) 455-3306

NPI assigned

Jun 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. C. J. Ludford, D.D.S.

Title

Dentist

Phone

(815) 455-3368

Specialties & licenses 1

Addresses

Other names 1

• Rt. 14 Dentistry & Dental Specialists Doing business as

Locations

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1831485929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 NORTHWEST HWY",
            "address_2": "SUITE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147939",
            "telephone_number": "815-455-3368",
            "fax_number": "815-455-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 NORTHWEST HWY",
            "address_2": "SUITE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147939",
            "telephone_number": "815-455-3368",
            "fax_number": "815-455-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDFORD DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "LUDFORD",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-455-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-016700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rt. 14 Dentistry & Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christen L Louderman, DPT
• Michael Joseph Louise, D.C.
• Madeline S. Lubenow, APN-CRNA
• Catherine Lucaccioni
• Lauren Lucas, MD
• Joanne R Lundstrom, COTA/L
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Michael Lyp
• M Raza Khan M D S C

• General Practice Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.