Kenneth D. Lapolla, D.D.S,, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3019432 Issued in OH

Legal business name

KENNETH D. LAPOLLA, D.D.S,, INC

Doing business as

LaPolla Family Dentistry

Practice address

8588 E Market St
Warren, OH 44484-2339

Phone

(330) 609-6565

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Dominic Lapolla, DDS

Title

President

Phone

(330) 609-6565

Specialties & licenses 1

Addresses

Other names 1

• LaPolla Family Dentistry Doing business as

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1841462843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8588 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842339",
            "telephone_number": "330-609-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8588 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842339",
            "telephone_number": "330-609-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D. LAPOLLA, D.D.S,, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "LAPOLLA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-609-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "3019432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaPolla Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Warren, OH
• Providers in Warren, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.