Jonathan M Lafond, D.M.D.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

3170 Issued in SC

Practice address

455 Old Trolley Rd
Ste E
Summerville, SC 29485-5669

Phone

(843) 851-0104

Fax

(843) 851-0210

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 1, 2013 through Feb 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lafond and Tambini DMD, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Summerville, SC
  • NPI 1528040755
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871606830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8602 ARTHUR HILLS CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294207424",
            "telephone_number": "843-760-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OLD TROLLEY RD",
            "address_2": "STE E",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855669",
            "telephone_number": "843-851-0104",
            "fax_number": "843-851-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFOND",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "SC",
            "license": "3170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "970893",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z31706",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lactation Station & More
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• Ladson RX LLC
• Emilee Rae Laenen, LPC-A, ADC-IP
• Lafond and Tambini DMD, PA
• Suzanne Lafond
• Banibaja Clhavinzky Silalahi Laguatan
• Ashley Elizabeth Lall, MD
• Heather A Lambert, D.C.
• Steven Lamparelli, PHARM.D.

• Oral and Maxillofacial Pathology Dentistry in Summerville, SC
• Providers in Summerville, SC by specialty
• Oral and Maxillofacial Pathology Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.