Land O Lakes Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LAND O LAKES PEDIATRIC DENTISTRY, LLC

Practice address

5442 Land O Lakes Blvd
Land O Lakes, FL 34639-3413

Phone

(813) 579-8492

Fax

(813) 333-7323

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Nellie Lin

Title

Director of Operations

Phone

(813) 579-8492

Specialties & licenses 1

Addresses

Other names 1

• Land O Lakes Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1871362632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16688 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181400",
            "telephone_number": "813-579-8492",
            "fax_number": "813-333-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 LAND O LAKES BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346393413",
            "telephone_number": "813-579-8492",
            "fax_number": "813-333-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND O LAKES PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "813-579-8492",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Land O Lakes Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakes Therapy Services
• Jorge Arturo Laloma-Sanchez, M.D.
• Christina Marie Lamonda, DPT, PT
• Land O Lakes Chiropractic Dcpa
• Land O Lakes Oral Maxillofacial & Implant Surgery
• Alexis Laskowski
• Ma Liza Trabajo Latras
• Meghan Laue, DPT
• Maria Laufer
• Sheri L Lawrence, LMFT

• Pediatric Dentistry in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.