Lake Worth Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN16898 Issued in CA

Legal business name

LAKE WORTH ORTHODONTICS

Doing business as

Lake Worth Orthodontics

Practice address

6045 Hagen Ranch Rd
Suite 2
Lake Worth, FL 33467-7251

Phone

(561) 408-2972

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Marc L Anderson, D.D.S

Title

Owner

Phone

(561) 408-2972

Specialties & licenses 1

Addresses

Other names 1

• Lake Worth Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1932658978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 HAGEN RANCH RD",
            "address_2": "SUITE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677251",
            "telephone_number": "561-408-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 HAGEN RANCH RD",
            "address_2": "SUITE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677251",
            "telephone_number": "561-408-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WORTH ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-408-2972",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "DN16898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Worth Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lake Worth Enterprise LLC
• Lake Worth Fire Department
• Lake Worth Opco LLC
• Lake Worth Rehabilitation Center LLC (Lake Worth Rehabilitation Center)
• Lake Worth SNF LLC (Terraces of Lake Worth Rehabilitation and Health Center)
• Lake Worth SNF LLC
• Lake Worth Therapy Center
• Colleen Lam, D.M.D.

• Dental Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.