NPIMap

Organization Active NPI

LSL Dental PLLC

  • Periodontics
  • Norwood, MA
National Provider Identifier
1922530898
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
LSL DENTAL PLLC
Doing business as
Advanced Periodontics and Implants
Practice address
761 Washington St
Norwood, MA 02062-6612
Phone
(781) 762-9292
Fax
(781) 769-4842
NPI assigned
Mar 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
William S Lightfoot, DDSNPI 1629194063
Title
Owner
Phone
(781) 762-9292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

761 Washington St
Norwood, MA 02062-6612

Mailing address

761 Washington St
Norwood, MA 02062-6612
Phone (781) 762-9292

Other names 1

  • Advanced Periodontics and Implants Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1922530898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020626612",
            "telephone_number": "781-762-9292",
            "fax_number": "781-769-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020626612",
            "telephone_number": "781-762-9292",
            "fax_number": "781-769-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-762-9292",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Periodontics and Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.