Laser Dentistry, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

DN14551 Issued in FL

Legal business name

LASER DENTISTRY, INC.

Practice address

1550 Matthew Dr
Fort Myers, FL 33907-1733

Phone

(239) 936-5442

Fax

(239) 936-4478

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Terry Monica Corke, RDH

Title

Officer

Phone

(239) 936-5442

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Howard Corke, DDS

  • General Practice Dentistry
  • Fort Myers, FL
  • NPI 1891838322
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1891977310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MATTHEW DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071733",
            "telephone_number": "239-936-5442",
            "fax_number": "239-936-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MATTHEW DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071733",
            "telephone_number": "239-936-5442",
            "fax_number": "239-936-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "CORKE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "239-936-5442",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Larsen, PA-C
• Elizabeth Larson
• Jessica Larson, PT
• Scott Von Larson, M.D.
• Tessa Lasage
• Claudia Lastre
• Joana Lastres
• Lauren Marjorie Latham, BCBA
• Robert S Latta, MD
• Amber Lattray, PA-C

• Dentist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.