La Dental Associates Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LA DENTAL ASSOCIATES INC

Practice address

3609 Germantown Ave
Philadelphia, PA 19140-4225

Phone

(215) 226-2171

Fax

(267) 875-2321

NPI assigned

Jan 14, 2025

Last updated

Jan 15, 2025By 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

Lena LaurentikNPI 1154925170

Title

Manager

Phone

(267) 902-5570

Specialties & licenses 1

Addresses

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.

• Lena Laurentik

  • Dental Hygienist
  • Philadelphia, PA
  • NPI 1154925170
  NPD Authorized official

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1912718610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 DEDAKER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153112",
            "telephone_number": "215-226-2171",
            "fax_number": "267-875-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404225",
            "telephone_number": "215-226-2171",
            "fax_number": "267-875-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA DENTAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "LAURENTIK",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-902-5570"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.