Lakeland Healthcare Management

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAKELAND HEALTHCARE MANAGEMENT

Doing business as

Lakeland Dental

Practice address

2548 Lillian Miller Pkwy
Suite 120
Denton, TX 76210-7212

Phone

(817) 400-0380

Fax

(972) 947-3957

NPI assigned

Dec 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ngozi Odocha, PHD

Title

Ceo

Phone

(817) 400-0380

Specialties & licenses 1

Addresses

Other names 1

• Lakeland Dental Doing business as

Practitioners 2

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

• Kendra Ugo Behram, DDS

  • Pediatric Dentistry
  • Lewisville, TX
  • NPI 1437395753
  NPD
• Toya M Dudley, DDS

  • General Practice Dentistry
  • Denton, TX
  • NPI 1376844084
  NPD (past)

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1922541416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292114",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750292114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 LILLIAN MILLER PKWY",
            "address_2": "SUITE 120",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107212",
            "telephone_number": "817-400-0380",
            "fax_number": "972-947-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HEALTHCARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "ODOCHA",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-400-0380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Marie Lacey, RN, AGACNP
• Teresa Lacey
• Linda D. Ladd, PSYCHOLOGIST
• Valeria Laddaga Gavidia, BCBA
• Atajane Ladell
• Marlys Camille Lamar, PH.D.
• Kelli Michelle Lamb, PHARMD
• Kodi Lamb
• Melanie Ann Lamb, OTR
• Timothy Lamb

• Dental Clinic/Center in Denton, TX
• Providers in Denton, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.