Bradley D Lance, DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRADLEY D LANCE, DDS PC

Doing business as

Lance Family Dental

Practice address

1315 Veterans Blvd
Festus, MO 63028-2329

Phone

(314) 605-3402

NPI assigned

Aug 29, 2024

Last updated

Aug 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley D Lance, DDSNPI 1356900872

Title

President

Phone

(636) 937-9445

Specialties & licenses 1

Addresses

Other names 1

• Lance Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Lance, DDS

  • Dentist
  • O'Fallon, MO
  • NPI 1356900872
  NPD Authorized official

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1891529160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 VETERANS BLVD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282329",
            "telephone_number": "314-605-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 VETERANS BLVD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282329",
            "telephone_number": "314-605-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY D LANCE, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-937-9445",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lance Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen Boyer
• Kobe Boyer, D.C
• Linda S Boyer
• Eric Neil-Jensen Boyum, MD
• Brad McMillin Inc (Beltone Hearing Aid Service)
• Curt A Branson
• Jane Elizabeth Breeze, DMD
• Warren M Breite, MD
• Denise Brennan
• Jane Susann Brenneke, MS, LPC

• Dental Clinic/Center in Festus, MO
• Providers in Festus, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.