Lake Wales Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11827 Issued in FL

Legal business name

LAKE WALES DENTAL ASSOCIATES

Practice address

23871 Hwy 27
Lake Wales, FL 33859-7811

Phone

(863) 678-3177

Fax

(863) 678-3188

NPI assigned

Oct 25, 2006

Last updated

Aug 30, 2007By 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

David E Junca

Title

President

Phone

(863) 678-3177

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.

• Hector Gonzalez Lay, D.D.S.

  • General Practice Dentistry
  • Lake Wales, FL
  • NPI 1497917363
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1942384961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23871 HWY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338597811",
            "telephone_number": "863-678-3177",
            "fax_number": "863-678-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23871 HWY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338597811",
            "telephone_number": "863-678-3177",
            "fax_number": "863-678-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WALES DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "JUNCA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-678-3177"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salim Lahlou, M.D.
• Lake Wale Pediatric Internal Medicine P.a.
• Lake Wales Charter Schools Inc
• Lake Wales Chiropractic Center Inc
• Lake Wales Clinic Corp
• Lake Wales Emergency Physicians, LLC
• Lake Wales Foot and Ankle Care, Inc
• Lake Wales Healthcare LLC (Grace Healthcare of Lake Wales)
• Lake Wales Hospital Corporation (Lake Wales Medical Center)
• Lake Wales Hospital Corporation (Lake Wales Medical Center)

• General Practice Dentistry in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• General Practice Dentistry in Florida

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