Downtown Dental, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DOWNTOWN DENTAL, P.A.

Doing business as

Lakemont Dental

Practice address

185 N Lakemont Ave Ste B
Winter Park, FL 32792-3203

Phone

(407) 644-7703

NPI assigned

Mar 23, 2021

Organization subpart

No

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

Authorized official

Name

Katie Burroughs

Title

Office Administrator

Phone

(407) 644-7703

Specialties & licenses 1

Addresses

Other names 1

• Lakemont Dental Doing business as

Practitioners 1

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

• John Michael Constantine, D.M.D.

  • Dentist
  • Kingsport, TN
  • NPI 1659725869
  NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1831775410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N LAKEMONT AVE STE B",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923203",
            "telephone_number": "407-644-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N LAKEMONT AVE STE B",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923203",
            "telephone_number": "407-644-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "407-644-7703"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakemont Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Douglas, MSW, LCSWI
• Ashlyn Elise Douglass-Barnes, LCSW
• Chandra S Dowd, LMT CNMT CSM
• Francesca Dowd, LMT
• Merys Downer-Garnette
• Dpbmd, LLC.
• Dr Jay Bornstein DPM PA
• Dr Jeffrey L Wechsler Dcpa
• Dr Todd Newberg PLLC
• Dr. Alan S. Kossow, PA

• Dental Clinic/Center in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.