LD-Montgomery, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LD-MONTGOMERY, LLC

Doing business as

River City Dental

Practice address

7022 Vaughn Rd
Montgomery, AL 36116-1370

Phone

(334) 271-3111

Fax

(334) 271-3112

NPI assigned

May 16, 2022

Last updated

Jul 7, 2023By 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

Lauren S Daigneault, BA, MA

Title

Admin Director

Phone

(256) 783-9468

Specialties & licenses 1

Addresses

Other names 1

• River City Dental Doing business as

Locations

Practitioners 3

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.

• Cory Allen Borer, D.D.S.

  • Dentist
  • Prattville, AL
  • NPI 1013075969
  NPD
• Paige McKinley Smith, DMD

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1518854082
  NPD
• Rodney Dale Entrekin, D.M.D.

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1598852527
  NPD (past)

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1942947551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7022 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161370",
            "telephone_number": "334-271-3111",
            "fax_number": "334-271-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7022 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161370",
            "telephone_number": "334-271-3111",
            "fax_number": "334-271-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LD-MONTGOMERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMIN DIRECTOR",
        "authorized_official_telephone_number": "256-783-9468",
        "authorized_official_credential": "BA, MA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jadah Lawson
• Tarnisha Rochelle Lawson, RBT
• Jordan Lay
• Otilia Layfield, PHARMD
• Ramona Browder Lazenby, RN, FNP-BC
• Jennifer Le
• Canaa Leona Lee
• Danielle Lee, CRNA
• Harry A Lee, M.D.,
• Kyung Joo Lee

• Dental Clinic/Center in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.